Amanda Sue Allen
Technician, Attendant Care Provider in Walnut Grove, MO. Individual provider (NPI-1).
NPI number1164073714
StatusActive
Last updated in NPPESSep 25, 2019
Details
- NPI
- 1164073714
- Entity type
- Individual (NPI-1)
- Name
- Ms. Amanda Sue Allen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2019
- Last updated
- Sep 25, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
5530 S 47th RdWalnut Grove, MO 65770-7503
Phone 417-741-2695
Mailing address
5530 S 47th RdWalnut Grove, MO 65770-7503
Phone 417-741-2695
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