Individual
AMANDA L. HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
100 MERCY WAY, SUITE 580, JOPLIN, MO 64804-4524
(417) 556-8555
(417) 556-8553
Mailing address
PO BOX 504944, SAINT LOUIS, MO 63150-4944
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015044897
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700242005
—
MO
05
—
PENDING
—
KS
05
—
PENDING
—
OK
Enumeration date
01/04/2016
Last updated
02/04/2016
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