Individual
AMANDA STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
101 W ASH ST, ELMWOOD, IL 61529-7987
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.030279
IL
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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