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Amanda Russell

NPI 1982575924 · on the registry since 2025

Practice

Address
636 N Main Ave
Republic, MO 65738
Phone
(417) 732-3605
Clinicians at this address
5

Additional practice sites

  • 100 E Front St, Rogersville, MO

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri