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Individual

AMANDA BROWN-BARTLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11538 CENTURY CIR, PLAINFIELD, IL 60585-7101
(815) 719-0286
Mailing address
11538 CENTURY CIR, PLAINFIELD, IL 60585-7101

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.015940
IL
363LF0000X
Family Nurse Practitioner
277001931
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
277001931
STATE LICENSE NUMBER
IL
Enumeration date
05/11/2017
Last updated
01/05/2023
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