Whalio Doctors

NPI 1194394908

Amanda Mackenzie Wilson, MSNRN

Practitioner Pediatric Registered Nurse Blue Springs, MO

Practice location

Address
315 SW 5th St, Blue Springs, MO 64014-3007
Phone
(816) 377-8277
Mailing address
4801 E Linwood Blvd, Kansas City, MO 64128-2226

Registered specialties (2)

Pediatric Registered Nurse Primary
Nursing Service Providers Taxonomy 163WP0200X Licence 202001453 (MO)
Critical Care Medicine Registered Nurse
Nursing Service Providers Taxonomy 163WC0200X Licence 202001453 (MO)

Registry record

NPI
1194394908
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Jun 2021
Record last updated
24 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.