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Amanda Christine Miklavcic, DNPPNP-AC
Pediatric Nurse Practitioner in Peoria, Illinois
NPI 1689212177

Amanda Christine Miklavcic is a Pediatric Nurse Practitioner based in Peoria, IL and is specialized in Pediatrics. Amanda Christine Miklavcic practices in Peoria, IL and has the professional credentials of DNPPNP-AC. The NPI Number for Amanda Christine Miklavcic is 1689212177 and holds a License No. APRN.CNP.026647 (Illinois).

The current practice location address for Amanda Christine Miklavcic is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-624-2277. You can also correspond with Amanda Christine Miklavcic through the mailing address at 1 ILLINI DR, PEORIA, IL - 61605-2576 (mailing address contact number: 309-671-3447).

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61605-2576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689212177
Provider Name
Amanda Christine Miklavcic
Credential
DNPPNP-AC
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61605-2576
Phone Number
309-624-2277
Fax Number
Provider Enumeration Date
12/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-3026
Phone Number
309-624-2277
Fax Number
person
Provider Business Mailing Address Details
Address
1 Illini Dr
City
Peoria
State
Illinois
Zip
61605-2576
Phone Number
309-671-3447
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209026119 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
APRN.CNP.026647 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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