| Amanda Sue Wilson, FNP-BC | |
|
2820 E Rock Haven Rd, Ste. 100, Harrisonville, MO 64701-4411 | |
| (816) 380-3582 | |
| (816) 380-6964 |
| Full Name | Amanda Sue Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2820 E Rock Haven Rd, Harrisonville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356692701 | NPI | - | NPPES |
| 1356692701 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2012033367 (Missouri) | Primary |
| Entity Name | Olathe Health Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598784639 PECOS PAC ID: 7618881905 Enrollment ID: O20031119000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Sue Wilson, FNP-BC 2820 E Rock Haven Rd, Ste. 100, Harrisonville, MO 64701-4411 Ph: (816) 380-3582 | Amanda Sue Wilson, FNP-BC 2820 E Rock Haven Rd, Ste. 100, Harrisonville, MO 64701-4411 Ph: (816) 380-3582 |
Taylor Marie Lincoln, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2820 E Rock Haven Rd Ste 100, Harrisonville, MO 64701 Phone: 816-380-3582 Fax: 816-380-6964 | |
Stacie Kubicsko, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2820 E Rock Haven Rd Ste 100, Harrisonville, MO 64701 Phone: 816-380-3582 Fax: 816-380-6964 | |
Trevor William Harvey, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2820 E Rock Haven Rd Ste 100, Harrisonville, MO 64701 Phone: 816-380-3582 | |
Jackie D Kumm, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2820 E Rock Haven Rd Ste 210, Harrisonville, MO 64701 Phone: 816-380-7470 Fax: 816-380-3291 | |
Mrs. Molly Rae Urton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 E Rock Haven Rd, Harrisonville, MO 64701 Phone: 816-380-5888 Fax: 816-887-0315 | |
Mrs. Jennifer Marie Ryan, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2820 E Rock Haven Rd, Ste. 100, Harrisonville, MO 64701 Phone: 816-380-3852 | |
Jacob Robert Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2820 E Rock Haven Rd Ste 100, Harrisonville, MO 64701 Phone: 816-380-3582 Fax: 816-380-6964 |