Individual
AMANDA JEAN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN, FNP-C
Contact information
Practice address
1710 N RANDALL RD STE 140, ELGIN, IL 60123-9401
(630) 584-1400
Mailing address
2052 TUNBRIDGE TRL, ALGONQUIN, IL 60102-6024
(847) 987-9883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.019854
IL
363LF0000X
Family Nurse Practitioner
Primary
209.019854
IL
Other
Enumeration date
12/12/2019
Last updated
12/05/2024
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