AMANDA LEE TREVINO

SPRINGFIELD, MO
NPI1710450762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2018044128)
Enumeration Date2019-01-02
Last Update Date2019-01-02
Business Address
AMANDA LEE TREVINO FNP
222 E PRIMROSE ST STE E
SPRINGFIELD, MO 65807-5233
Phone number: 417-888-0167
Mailing Address
AMANDA LEE TREVINO FNP
3183 E LIBERTY ST
REPUBLIC, MO 65738-7826
Phone number: 417-755-6486