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Amanda M Eversgerd
Family Nurse Practitioner in Maryville, Illinois
NPI 1922560101

Amanda M Eversgerd is a Family Nurse Practitioner based in Caseyville, IL and is specialized in Family. Amanda M Eversgerd practices in Maryville, IL. The NPI Number for Amanda M Eversgerd is 1922560101 and holds a License No. 209.019216 (Illinois).

The current practice location address for Amanda M Eversgerd is 20 Professional Park Dr, Maryville, IL and can be reached out via phone at 618-531-5802.

Location: 20 Professional Park Dr, Maryville, IL, 62232-2847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922560101
Provider Name
Amanda M Eversgerd
Credential
Provider Entity Type
Individual
Gender
Female
Address
20 Professional Park Dr, Maryville, IL, 62232-2847
Phone Number
618-531-5802
Fax Number
Provider Enumeration Date
04/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20 Professional Park Dr
City
Maryville
State
Illinois
Zip
62062-5830
Phone Number
618-531-5802
Fax Number
person
Provider Business Mailing Address Details
Address
20 Professional Park Dr
City
Maryville
State
Illinois
Zip
62062-5830
Phone Number
618-531-5802
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.019216 (Illinois)
Definition
Definition to come...
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