Individual provider · NPI-1

Amy Christine Bakken, ARNP

Nurse Practitioner, Pediatrics · Overland Park, KS

NPI number1780834663
StatusActive
Last updated in NPPESOct 28, 2013

Details

NPI
1780834663
Entity type
Individual (NPI-1)
Name
Mrs. Amy Christine Bakken
Credential
ARNP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 26, 2008
Last updated
Oct 28, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics53-75550-122KSYes

Practice location

7301 W 133rd St
Suite 102
Overland Park, KS 66213-4750

Phone 913-888-4567

Mailing address

7301 W 133rd St
Suite 102
Overland Park, KS 66213-4750

Phone 913-888-4567

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