AMANDA LEE TREVINO FNP NPI 1710450762

NPI Information

NPI: 1710450762
Provider Name: AMANDA LEE TREVINO, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ELITE PAIN MANAGEMENT LLC

PECOS Registration: Yes

Address:
222 E PRIMROSE ST STE E
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 888-0167
Get Directions

Amanda Lee Trevino, FNP is a family nurse practitioner in Springfield, MO with 6 years of experience. Amanda Lee Trevino, FNP NPI is 1710450762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

222 E PRIMROSE ST STE E
SPRINGFIELD, MO
ZIP 65807-233
Phone: (417) 888-0167

The NPI 1710450762 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/2/2019 and was last updated on 1/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2018044128	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »