Individual
MS. AMANDA NEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 GRANT ST, GARY, IN 46402-6001
(708) 747-4000
(708) 503-3806
Mailing address
301 MADISON ST, STE 306, JOLIET, IL 60435-6549
(815) 725-6331
(815) 725-4709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28187355A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28187355A
IN
Other
Enumeration date
12/15/2009
Last updated
01/08/2010
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