Individual
AMY LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
925 WEST ST, PERU, IL 61354-2757
(815) 223-3300
Mailing address
28 N 42ND RD, MENDOTA, IL 61342-9653
(815) 228-1351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.018888
IL
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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