Amanda L Neff, LPN

Individual provider Active NPI Licensed Practical Nurse · Trenton, MO

NPI 1700105715 · NPPES record last updated Jun 1, 2010

Key facts

NPI
1700105715
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
2009027364 (MO)
Practice address
1628 Oklahoma Ave
Trenton, MO 64683-2565
Phone
(660) 359-4600
Fax
(660) 359-4286
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2009027364MOMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2009027364 MO Yes

Addresses

Primary practice location

1628 Oklahoma Ave
Trenton, MO 64683-2565

Mailing address

900 E Laharpe St
Kirksville, MO 63501-4520
Phone (660) 665-1962

Other providers in Trenton, MO

All providers in Trenton, MO · Licensed Practical Nurse in Missouri

Sources for this page

Verify at the official NPI Registry.