Individual provider · Type 1 NPI
Amanda Sue Underwood, R.N.
Addiction (Substance Use Disorder) Registered Nurse · Clinton, MO
NPI number
1073973343
Active
Practice location
1800 Community
Clinton, MO 64735-8804
Fax (660) 885-2393
Mailing address
203 N Graham St
Leeton, MO 64761-9122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 118540 (MO) |
| Registered Nurse | 163W00000X | 118540 (MO) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1073973343
Amanda Sue Underwood, R.N.'s National Provider Identifier is 1073973343, issued on Mar 1, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Clinton, MO. The record was last updated on Mar 1, 2016.