IndividualActive
Amy Waller, APRN-BC
NPI 1255358875 · Adult Health Nurse Practitioner · Lees Summit, MO
Provider details
- NPI number
- 1255358875
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 53-45679-011 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3601 Ne Ralph Powell Rd Ste a
Lees Summit, MO 64064-2316
Phone: (816) 836-2200
Fax: (816) 836-2244
Approximate (ZIP-level) locationGet directions
Mailing address
3601 Ne Ralph Powell Rd Ste a
Lees Summit, MO 64064-2316
Additional practice locations (1)
- 1110 Columbine DrHolton, KS 66436-8824Phone: (785) 364-2116
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.