IndividualActive
Amy Walquist
NPI 1013536531 · Nutrition Support Registered Nurse · Odessa, MO
Provider details
- NPI number
- 1013536531
- Entity type
- Individual
- Primary specialty
- Nutrition Support Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 131713 (MO)
Mailing address
4138 Highway Tt
Odessa, MO 64076-6354
Registry dates
- Enumerated
- 2020-04-14
- Last updated
- 2020-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.