Individual
AMANDA FRASSATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5383 IL-154, PINCKNEYVILLE, IL 62274-6227
(618) 357-2187
Mailing address
502 E WATER ST, PINCKNEYVILLE, IL 62274-1118
(618) 357-2187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.455829
IL
363LF0000X
Family Nurse Practitioner
Primary
209-029982
IL
Other
Enumeration date
06/30/2022
Last updated
10/28/2024
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