Ampadu, Clara

Ampadu, Clara is an individual health care provider with primary practice located at 15 Park Pl , Swansea IL 62226-2918. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ampadu, Clara can be contacted via phone (618) 580-1359.

Contact Information

Primary practice address
15 Park Pl Swansea IL 62226-2918
Phone: (618) 580-1359
Fax: (618) 234-7242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209015985 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2017008662 Missouri

Profile Details

NPI number 1578096806
LBN Legal business name Ampadu, Clara
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2017
Last updated Jun 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578096806 NPPES
Illinois MEDICAID 0360832704

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