# THE VILLAGE CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amanda Disch, ARNP, The Village Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508695032
- **Authorized official:** AMANDA M DISCH NP (OWNER/NURSE PRACTITIONER)
- **Authorized official phone:** (563) 499-0437

## Contact information

- **Practice address:** 2107 E 12TH ST, DAVENPORT, IA 52803-3706
- **Practice address phone:** (563) 362-3312
- **Practice address fax:** (563) 204-1179
- **Mailing address:** 2107 E 12TH ST, DAVENPORT, IA 52803-3706
- **Mailing address phone:** (563) 286-0743
- **Mailing address fax:** (563) 204-1179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2024
- **Last updated:** 02/25/2025