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Ms. Amy Dianna Wallen, FNP
Nurse Practitioner in Bonne Terre, Missouri
NPI 1831581222

Amy Dianna Wallen is a Nurse Practitioner based in Cape Girardeau, MO. Amy Dianna Wallen practices in Bonne Terre, MO and has the professional credentials of FNP. The NPI Number for Amy Dianna Wallen is 1831581222 and holds a License No. 2015006782 (Missouri).

The current practice location address for Amy Dianna Wallen is 10 Lake Dr, Bonne Terre, MO and can be reached out via phone at 573-271-5317 and via fax at 573-335-6724.

Location: 10 Lake Dr, Bonne Terre, MO, 63701-4403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831581222
Provider Name
Amy Dianna Wallen
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
10 Lake Dr, Bonne Terre, MO, 63701-4403
Phone Number
573-271-5317
Fax Number
573-335-6724
Provider Enumeration Date
02/23/2015
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420021276 05 MO
institution
Provider Business Practice Location Address Details
Address
10 Lake Dr
City
Bonne Terre
State
Missouri
Zip
63628-1820
Phone Number
573-271-5317
Fax Number
573-335-6724
person
Provider Business Mailing Address Details
Address
10 Lake Dr
City
Bonne Terre
State
Missouri
Zip
63628-1820
Phone Number
573-271-5317
Fax Number
573-335-6724
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2015006782 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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