Individual
AMANDA D COPENHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2101 CHARLOTTE ST, KANSAS CITY, MO 64108-2727
(816) 404-7800
Mailing address
2101 CHARLOTTE ST, KANSAS CITY, MO 64108-2727
(816) 404-7800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2021002930
MO
363LF0000X
Family Nurse Practitioner
2021002930
MO
363LF0000X
Family Nurse Practitioner
Primary
53-80080-032
KS
Other
Enumeration date
01/26/2021
Last updated
09/16/2024
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