Whitaker, Amy I.

Whitaker, Amy I. is an individual health care provider with primary practice located at 1050 W 10Th St , Rolla MO 65401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Whitaker, Amy I. can be contacted via phone (573) 364-7545.

Contact Information

Primary practice address
1050 W 10Th St Rolla MO 65401
Phone: (573) 364-7545
Fax: (573) 368-3672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 064070 Missouri

Profile Details

NPI number 1508902354
LBN Legal business name Whitaker, Amy I.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Oct 25th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508902354 NPPES
Missouri MEDICAID 428416309

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