Individual
AMANDA NICHOLE NIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7201 E 147TH ST, GRANDVIEW, MO 64030-4204
(816) 348-2260
(913) 495-3751
Mailing address
8550 MARSHALL DR STE 220, LENEXA, KS 66214-1505
(816) 348-2260
(913) 495-3751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019024992
MO
Other
Enumeration date
06/20/2019
Last updated
05/12/2021
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