Individual
AMANDA ENGELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5100 LAKE TER NE STE WC, MOUNT VERNON, IL 62864-9665
(618) 899-5001
Mailing address
457 W LEBANON ST, NASHVILLE, IL 62263-1350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0130363
IL
Other
Enumeration date
10/19/2015
Last updated
01/21/2016
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