Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 2019035272 | MO |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 53-78962-041 | KS |
NPI | 1093365660 |
---|---|
Provider Name | Amelia Lee Gute |
First Address | Kansas City, MO 64108-1145 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2019 |
Last Update Date | 01/04/2021 |