Individual
AMANDA LEIGH ALONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2950 180TH RD, CHANUTE, KS 66720-6141
(620) 875-6881
Mailing address
2950 180TH RD, CHANUTE, KS 66720-6141
(620) 875-6881
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-79815-111
KS
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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