# AMANDA NOEL LAUER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114704004
- **Gender:** F
- **Credential:** PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 041465889 | IL | Yes |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 149343 | IA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | G176791 | IA | — |

## Other

- **Enumeration date:** 09/13/2023
- **Last updated:** 10/18/2023