Individual provider · Type 1 NPI

Amy Astel Waller, APRN-BC

Nurse Practitioner · Lees Summit, MO

NPI number 1255358875 Active

Practice location

3601 NE Ralph Powell Rd Ste A
Lees Summit, MO 64064-2316

Fax (816) 836-2244

Other practice locations

  • 1110 Columbine Dr, Holton, KS 66436-8824 · (785) 364-2116

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X53-45679-011 (KS)
Nurse Practitioner Primary 363L00000X136973 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

6 other providers at this address

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About NPI 1255358875

Amy Astel Waller, APRN-BC's National Provider Identifier is 1255358875, issued on Jul 17, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lees Summit, MO. The record was last updated on Jul 29, 2026.