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AMANDA WILLANE MICHAELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ADNP

Contact information

Practice address
163 E BETHALTO DR, BETHALTO, IL 62010-1801
(618) 433-6490
Mailing address
163 E BETHALTO DR, BETHALTO, IL 62010-1801
(618) 433-6490

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-017712
IL

Other

Enumeration date
06/21/2018
Last updated
02/23/2022
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