Individual
AMANDA LEA HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1166 BANNING ST, MARSHFIELD, MO 65706-1015
(417) 761-3013
Mailing address
1166 BANNING ST, MARSHFIELD, MO 65706-1015
(417) 761-3013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016034307
MO
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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