Individual provider · Type 1 NPI
Amy Lallathin, NP
Gerontology Nurse Practitioner · Branson, MO
NPI number
1194291054
Active
Practice location
448 State Highway 248 Ste 120
Branson, MO 65616-3725
Other practice locations
- 18598 Business 13, Branson West, MO 65737-9659 · (417) 272-8497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2014002993 (MO) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 2018040401 (MO) |
Gerontology Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1194291054
Amy Lallathin, NP's National Provider Identifier is 1194291054, issued on Oct 18, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Branson, MO. The record was last updated on Nov 7, 2018.