Individual
AMANDA RAE MERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
23401 PRAIRIE STAR PKWY STE B-300, LENEXA, KS 66227-7268
(913) 677-6319
(913) 677-1540
Mailing address
3726 N 153RD TER, BASEHOR, KS 66007-3008
(913) 706-7434
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-77832-041
KS
Other
Enumeration date
08/26/2017
Last updated
09/04/2023
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