Individual
DR. CLARA AMPADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
15 PARK PL, SWANSEA, IL 62226-2918
(618) 580-1359
(618) 234-7242
Mailing address
15 PARK PL, SWANSEA, IL 62226-2918
(618) 257-0780
(618) 257-0715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209015985
IL
363LF0000X
Family Nurse Practitioner
Primary
2017008662
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360832704
—
IL
Enumeration date
04/04/2017
Last updated
06/28/2021
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