MS. AMANDA SUE ANDERSON


Address: 144 Oak Hill Dr, Maryville, IL 62062-6475
Phone: 6185202159

MS. AMANDA SUE ANDERSON (NPI# 1952797383) 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) 1952797383
Entity Type Individual
Full Name MS. AMANDA SUE ANDERSON
Credential ANP, FNP-BC
Practice Address 144 Oak Hill Dr
Maryville
IL 62062-6475
Mailing Address 12 N 64th St
Belleville
IL 62223-3809
Practice Telephone 6185202159
Mailing Telephone 6183970900
Enumeration Date 2015-04-13
Last Update Date 2020-05-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
309.008691 IL Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
209.012702 IL Physician Assistants & Advanced Practice Nursing Providers

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1295233146 Amanda Dawn Anderson Licensed Vocational Nurse Fm 347, Jacksonville, TX 75766 2018-01-25
1750897716 Amanda Mary Anderson Counselor 10201 W Lincoln Ave Ste 308, West Allis, WI 53227-2136 2017-12-28
1508394792 Amanda Diane Anderson Registered Nurse 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581 2017-06-01
1124573613 Amanda Anderson Occupational Therapy Assistant 26 Rykill Way, Palm Coast, FL 32164-3403 2016-08-24
1306217096 Amanda Anderson Registered Nurse 103 Plymouth Dr Apt 2c, Norwood, MA 02062-5487 2015-10-07
1104292267 Amanda Lynn Anderson Physician Assistant 550 E 8th Ave, Escondido, CA 92025-5121 2015-08-12
1386991263 Amanda Ruth Anderson Community Health Worker 27500 102nd Ave Nw Ste 2, Stanwood, WA 98292-8092 2012-08-09

Office Location

Street Address 144 OAK HILL DR
City MARYVILLE
State IL
Zip Code 62062-6475

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104325091 Jennifer M Oyler Physician Assistant 6812 State Route 162 Suite 120, Maryville, IL 62062 2018-02-06
1710495965 Sarah Elizabeth Barto Family Medicine 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 2018-01-22
1104348085 Lindsey Nicole Langendorf Chiropractor 62 Executive Plaza Ct, Maryville, IL 62062 2017-07-12
1043750540 Gina Saal Nurse Anesthetist, Certified Registered 6800 Rt 162, Maryville, IL 62062 2017-03-02
1548657737 Karen Michelle Bertels Emergency Medicine 6800 Il - 162, Maryville, IL 62062 2015-04-25
1811258148 Debra Ann Hoelscher Internal Medicine 2102 Vadalabene, Maryville, IL 62062 2012-06-04
1538438445 Casey Elizabeth Wiesemeyer Speech-Language Pathologist 2201 Copper Creek Rd, Maryville, IL 62062 2011-12-21
1407144819 Norah Claire Farley Baker Family Medicine 10 Professional Park Dr., Maryville, IL 62062 2011-07-19
1891092474 Kimberly M Schneider Physician Assistant 20b Professional Park Drive, Maryville, IL 62062 2011-02-17
1669782397 Purandhri Patel Physical Therapist 6820 State Route 162, Maryville, IL 62062 2010-10-15
Find all providers in zip 62062

Taxonomy Information

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

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821600693 Tonya Ann Bosaw Nurse Practitioner 6812 State Route 162 Ste 204, Maryville, IL 62062-8562 2020-08-21
1841815701 Samantha Mclean Nurse Practitioner 2005 Kirkland Blvd, Maryville, TN 37803-3600 2020-06-16
1477102713 Tammy Ann Buchanon Nurse Practitioner 2415 Effler Rd, Maryville, TN 37803-6609 2019-09-10
1316500812 Caitlyn Michelle Chaires Nurse Practitioner 525 W Broadway Ave, Maryville, TN 37801-4782 2019-04-19
1316461460 Steven Casey Boring Nurse Practitioner 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 2017-07-31
1477902708 Katherine Buckner Nurse Practitioner 708 Devictor Dr, Maryville, TN 37801-8666 2016-06-07
1124484415 Shannon Everett Nurse Practitioner 1716 Old Mount Tabor Rd, Maryville, TN 37801-7866 2016-01-03
1992194401 Alyssa R. Loepker Nurse Practitioner 6812 State Route 162 Ste 120, Maryville, IL 62062-8586 2015-01-21
1477956076 Lori B Crisp Nurse Practitioner 339 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 2014-09-27
1114260551 Amanda Michelle Connoyer Nurse Practitioner 2023 Vadalabene Dr Ste 251, Maryville, IL 62062-5637 2013-04-04
Find all providers in MARYVILLE

Competitor

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City MARYVILLE
Zip Code 62062

Improve Information

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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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