Individual
AMANDA KIERBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3440
Mailing address
611 W. PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.015741
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209015741
IL
363LF0000X
Family Nurse Practitioner
209015741
IL
Other
Enumeration date
03/14/2017
Last updated
01/17/2025
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