Individual provider · Type 1 NPI
Amanda Mackenzie Wilson, MSN, RN
Pediatric Registered Nurse · Blue Springs, MO
NPI number
1194394908
Active
Practice location
315 SW 5th St
Blue Springs, MO 64014-3007
Mailing address
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 202001453 (MO) |
| Pediatric Registered Nurse Primary | 163WP0200X | 202001453 (MO) |
Pediatric Registered Nurse: Definition to come...
About NPI 1194394908
Amanda Mackenzie Wilson, MSN, RN's National Provider Identifier is 1194394908, issued on Jun 24, 2021. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Blue Springs, MO. The record was last updated on Feb 24, 2025.