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Amy Lynn Staker, APRN
Family Nurse Practitioner in Morris, Illinois
NPI 1063756492

Amy Lynn Staker is a Family Nurse Practitioner based in Morris, IL and is specialized in Family. Amy Lynn Staker practices in Morris, IL and has the professional credentials of APRN. The NPI Number for Amy Lynn Staker is 1063756492 and holds a License No. 209010035 (Illinois).

The current practice location address for Amy Lynn Staker is 100 Gore Rd, Morris, IL and can be reached out via phone at 815-364-8919.

Location: 100 Gore Rd, Morris, IL, 60450-1207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063756492
Provider Name
Amy Lynn Staker
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
100 Gore Rd, Morris, IL, 60450-1207
Phone Number
815-364-8919
Fax Number
Provider Enumeration Date
11/26/2012
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209.010035 01 IL IL LICENSE
PENDING 05 IL
institution
Provider Business Practice Location Address Details
Address
100 Gore Rd
City
Morris
State
Illinois
Zip
60450-9466
Phone Number
815-364-8919
Fax Number
person
Provider Business Mailing Address Details
Address
100 Gore Rd
City
Morris
State
Illinois
Zip
60450-9466
Phone Number
815-364-8919
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209010035 (Illinois)
Definition
Definition to come...
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