Provider Demographics
NPI:1487380861
Name:GUNN, AMANDA LEA (NNP-BC)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:LEA
Last Name:GUNN
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:NEW FRANKLIN
Mailing Address - State:MO
Mailing Address - Zip Code:65274-9737
Mailing Address - Country:US
Mailing Address - Phone:660-620-1368
Mailing Address - Fax:
Practice Address - Street 1:4401 WORNALL RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3220
Practice Address - Country:US
Practice Address - Phone:816-932-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012016731363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal