Individual
AMANDA L MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
10 SAINT CLARE CT STE 100, WASHINGTON, IL 61571-9239
(309) 886-4000
Mailing address
128 FIELD GROVE CT, EAST PEORIA, IL 61611-4323
(309) 634-8404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209019127
IL
Other
Enumeration date
09/30/2019
Last updated
02/05/2024
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