# AMANDA ALLEN

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

## Provider details

- **NPI number:** 1861278111
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | 28157233A | IN | — |
| 163WG0000X | General Practice Registered Nurse | 041360704 | IL | — |
| 363LA2100X | Acute Care Nurse Practitioner | 209028603 | IL | — |
| 363LG0600X | Gerontology Nurse Practitioner | 71016593A | IN | Yes |

## Other

- **Enumeration date:** 09/04/2023
- **Last updated:** 05/28/2025