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Ms. Amanda D Allen, AGNP
Gerontology Nurse Practitioner in Shiloh, Illinois
NPI 1346999315

Amanda D Allen is a Gerontology Nurse Practitioner based in Saint Louis, IL and is specialized in Gerontology. Amanda D Allen practices in Shiloh, IL and has the professional credentials of AGNP. The NPI Number for Amanda D Allen is 1346999315 and holds a License No. 209026073 (Illinois).

The current practice location address for Amanda D Allen is 1418 Cross St, Shiloh, IL and can be reached out via phone at 800-647-2098 and via fax at 314-362-3192.

Location: 1418 Cross St, Shiloh, IL, 63110-1010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346999315
Provider Name
Amanda D Allen
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
1418 Cross St, Shiloh, IL, 63110-1010
Phone Number
800-647-2098
Fax Number
314-362-3192
Provider Enumeration Date
03/18/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420108279 05 MO
institution
Provider Business Practice Location Address Details
Address
1418 Cross St
City
Shiloh
State
Illinois
Zip
62269-2914
Phone Number
800-647-2098
Fax Number
314-362-3192
person
Provider Business Mailing Address Details
Address
1418 Cross St
City
Shiloh
State
Illinois
Zip
62269-2914
Phone Number
800-647-2098
Fax Number
314-362-3192
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
209026073 (Illinois)
Definition
Definition to come...
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