| Doctor Name: | AMANDA PERKINS |
| NPI Number: | 1033422258 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2010022944 |
| Business Practice Address: | 1616 N 7 Hwy Blue Springs, MO - 640141936 |
| Business Phone Number: | 4017702751 |
| Business Fax Number: | |
| Mailing Address: | 1 Cvs Dr, Attn: Minuteclinic Credentialing 2100 WOONSOCKET |
| State: | RI |
| Postal Code: | 028956146 |
| Phone Number: | 4017702751 |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2010 |
| NPI Last Update Date: | 07/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2010022944 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |