Individual
AMY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7717 N ORANGE PRAIRIE RD, PEORIA, IL 61615-9323
(309) 589-6800
Mailing address
22 PARKWOOD CIR, DAHINDA, IL 61428-9517
(309) 509-3752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277001779
IL
Other
Enumeration date
05/07/2019
Last updated
01/03/2024
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