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NPI Code Detail

MEDICARE: MRS. AMY MICHELLE MACCUISH CPNP

MEDICARE: MRS. AMY MICHELLE MACCUISH CPNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner2008004765MO

General Provider Information

NPI Number : 1609859933
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY MICHELLE MACCUISH CPNP
Provider Business Mailing Address
First Line : 2401 GILLHAM RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-4619
Country : US
Telephone Number : 816-234-3000
Fax Number : 816-302-9939
Provider Business Practice Location Address
First Line : 501 NW BARRY RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-2732
Country : US
Telephone Number : 816-413-2500
Fax Number : 816-302-9939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 04/23/2025

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