SearchMissouri2355S0801X

Amanda Smith

NPI 1528894201 · on the registry since 2024

Practice

Address
1400 E Forest St
Bolivar, MO 65613
Phone
(417) 328-5615
Fax
(417) 328-5614

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri