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Amanda Willane Michaels, ADNP
Family Nurse Practitioner in Bethalto, Illinois
NPI 1275027344

Amanda Willane Michaels is a Family Nurse Practitioner based in Bethalto, IL and is specialized in Family. Amanda Willane Michaels practices in Bethalto, IL and has the professional credentials of ADNP. The NPI Number for Amanda Willane Michaels is 1275027344 and holds a License No. 209-017712 (Illinois).

The current practice location address for Amanda Willane Michaels is 163 E Bethalto Dr, Bethalto, IL and can be reached out via phone at 618-433-6490.

Location: 163 E Bethalto Dr, Bethalto, IL, 62010-1801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275027344
Provider Name
Amanda Willane Michaels
Credential
ADNP
Provider Entity Type
Individual
Gender
Female
Address
163 E Bethalto Dr, Bethalto, IL, 62010-1801
Phone Number
618-433-6490
Fax Number
Provider Enumeration Date
06/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
163 E Bethalto Dr
City
Bethalto
State
Illinois
Zip
62010-1801
Phone Number
618-433-6490
Fax Number
person
Provider Business Mailing Address Details
Address
163 E Bethalto Dr
City
Bethalto
State
Illinois
Zip
62010-1801
Phone Number
618-433-6490
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209-017712 (Illinois)
Definition
Definition to come...
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