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Individual

AMANDA FUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
850 BRYANT ST, LOUISVILLE, IL 62858-1000
(618) 665-7000
Mailing address
850 BRYANT ST, LOUISVILLE, IL 62858-1000
(618) 665-7000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209024886
IL

Other

Enumeration date
03/11/2022
Last updated
03/11/2022
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