Individual
AMANDA MARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-2966
Mailing address
2261 E 1000 NORTH RD, SHELBYVILLE, IL 62565-4187
(217) 273-9190
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.020804
IL
Other
Enumeration date
02/18/2020
Last updated
06/27/2022
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