| Doctor Name: | MRS. AMANDA LYNNE MUNDEN |
| NPI Number: | 1093101768 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 2015005058 |
| Business Practice Address: | 1215 W Foxwood Dr Raymore, MO - 640838301 |
| Business Phone Number: | 8663892727 |
| Business Fax Number: | |
| Mailing Address: | 14617 S Brougham Dr, OLATHE |
| State: | KS |
| Postal Code: | 660622530 |
| Phone Number: | 9132092725 |
| Fax Number: | |
| NPI Enumeration Date: | 04/09/2015 |
| NPI Last Update Date: | 12/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2015005058 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |