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Individual

AMYE LITHERLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
901 PATIENTS FIRST DR STE 3500, WASHINGTON, MO 63090-4700
(636) 390-1570
Mailing address
901 PATIENTS FIRST DR STE 3500, WASHINGTON, MO 63090-4700
(636) 390-1570

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024026248
MO
363LF0000X
Family Nurse Practitioner
71007973A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300013760
IN
01
IN1125024
MEDICARE PTAN
IN
01
IN1127023
MEDICARE PTAN
IN
Enumeration date
09/06/2017
Last updated
07/24/2024
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