Individual
AMANDA STICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2322 S MAIN ST, FORT SCOTT, KS 66701-3026
(888) 777-9170
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(620) 231-9873
(620) 240-5062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76694
KS
Other
Enumeration date
02/11/2015
Last updated
05/01/2023
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