MRS. AMANDA E HILDEBRAND


Address: 3370 Carman Ave, Springfield, IL 62703-4642
Phone: 2172997012

MRS. AMANDA E HILDEBRAND (NPI# 1922623156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922623156
Entity Type Individual
Full Name MRS. AMANDA E HILDEBRAND
Credential NP-C
Practice Address 3370 Carman Ave
Springfield
IL 62703-4642
Practice Telephone 2172997012
Mailing Telephone 2172997012
Enumeration Date 2020-06-12
Last Update Date 2020-06-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209021504 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3370 CARMAN AVE
City SPRINGFIELD
State IL
Zip Code 62703-4642

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1679182281 Erica Gail Hunt Nurse Practitioner 2813 Haverford Rd, Springfield, IL 62704-4267 2020-07-29
1063020063 Gage Azeez Nurse Practitioner 46 Timber Ln, Springfield, MA 01119-2828 2020-07-16
1033737440 Janne L Nicholson Nurse Practitioner 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 2020-07-13
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Competitor

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City SPRINGFIELD
Zip Code 62703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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