Individual
MRS. AMANDA R WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
322 S BUCHANAN ST, EDWARDSVILLE, IL 62025-2086
(618) 967-0518
(618) 417-6049
Mailing address
6856 MIDDLEGATE LN, GLEN CARBON, IL 62034-4053
(314) 570-8866
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209031040
IL
Other
Enumeration date
11/13/2024
Last updated
04/28/2025
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