Individual
AMANDA MAE ST LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1530 N RANDALL RD STE 210, ELGIN, IL 60123-7879
(224) 760-7322
(224) 535-8252
Mailing address
1530 N RANDALL RD STE 210, ELGIN, IL 60123-7879
(224) 760-7322
(224) 535-8252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10230648
IL
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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