Healthcare Provider Details

I. General information

NPI: 1831059260
Provider Name (Legal Business Name): AMY E COLLINS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 S ELIZABETH ST
INDEPENDENCE MO
64057-1759
US

IV. Provider business mailing address

3737 S ELIZABETH ST
INDEPENDENCE MO
64057-1759
US

V. Phone/Fax

Practice location:
  • Phone: 816-768-0090
  • Fax: 816-912-1739
Mailing address:
  • Phone: 816-768-0090
  • Fax: 816-912-1739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2025046990
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: