Healthcare Provider Details

I. General information

NPI: 1104433507
Provider Name (Legal Business Name): AMANDA LEE REMPE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2020
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 MAIN ST
WESTMORELAND KS
66549-9684
US

IV. Provider business mailing address

302 MAIN ST
WESTMORELAND KS
66549-9684
US

V. Phone/Fax

Practice location:
  • Phone: 785-457-9890
  • Fax: 785-457-9891
Mailing address:
  • Phone: 785-457-9890
  • Fax: 785-457-9891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-81504
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number81504
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: