Individual provider · Type 1 NPI

Amy Dianna Wallen, FNP

Nurse Practitioner · Farmington, MO

NPI number 1831581222 Active

Practice location

203 S Washington St
Farmington, MO 63640-1836

Call (573) 664-1047 Map

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2015006782 (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…

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About NPI 1831581222

Amy Dianna Wallen, FNP's National Provider Identifier is 1831581222, issued on Feb 23, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Farmington, MO. The record was last updated on Dec 17, 2025.