Amanda Sue Underwood, R.N.
Registered Nurse, Addiction (Substance Use Disorder) in Clinton, MO. Individual provider (NPI-1).
NPI number1073973343
StatusActive
Last updated in NPPESMar 1, 2016
Details
- NPI
- 1073973343
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Sue Underwood
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2016
- Last updated
- Mar 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | 118540 | MO | Yes |
| 163W00000X | Registered Nurse | 118540 | MO |
Practice location
1800 CommunityClinton, MO 64735-8804
Phone 660-890-8164 · Fax 660-885-2393
Mailing address
203 N Graham StLeeton, MO 64761-9122
Phone 660-525-5972 · Fax 660-855-2393
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