Provider Demographics
NPI:1871974758
Name:TRUE, AMANDA (DNP)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:TRUE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:DAWN
Other - Last Name:KILLDAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:1611 S BALTIMORE ST
Mailing Address - Street 2:PO BOX 295
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-4536
Mailing Address - Country:US
Mailing Address - Phone:660-626-8846
Mailing Address - Fax:
Practice Address - Street 1:1834 SW WANAMAKER RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3825
Practice Address - Country:US
Practice Address - Phone:785-272-2631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015081291363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily