Individual
AMANDA MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3266
(217) 383-3463
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3266
(217) 383-3463
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP07711
LA
Other
Enumeration date
02/26/2020
Last updated
03/05/2024
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