Anderson, Amanda Sue

Anderson, Amanda Sue is an individual health care provider with primary practice located at 144 Oak Hill Dr , Maryville IL 62062-6475. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Anderson, Amanda Sue can be contacted via phone (618) 520-2159.

Contact Information

Primary practice address
144 Oak Hill Dr Maryville IL 62062-6475
Phone: (618) 520-2159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.012702 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 309.008691 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 309.008691 Illinois

Profile Details

NPI number 1952797383
LBN Legal business name Anderson, Amanda Sue
Credentials ANP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2015
Last updated May 26th, 2021 - about 4 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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