Amanda Sue Allen
Individual provider Active NPI Attendant Care Provider · Walnut Grove, MO
NPI 1164073714 · NPPES record last updated Sep 25, 2019
Key facts
- NPI
- 1164073714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 5530 S 47TH Rd
Walnut Grove, MO 65770-7503 - Phone
- (417) 741-2695
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
5530 S 47TH Rd
Walnut Grove, MO 65770-7503
Mailing address
5530 S 47TH Rd
Walnut Grove, MO 65770-7503
Phone (417) 741-2695
Other providers in Walnut Grove, MO
- Dakota Burnett
- Ho-Ke and Company LLC
- Cynthia Lynn Hollis-Keene
- Steadfast Counseling Services, LLC
- Walnut Grove School Dist R5
All providers in Walnut Grove, MO · Attendant Care Provider in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.