Miklavcic, Amanda Christine

Miklavcic, Amanda Christine is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-3026. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Miklavcic, Amanda Christine can be contacted via phone (309) 624-2277.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Peoria IL 61637-3026
Phone: (309) 624-2277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.026647 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209026119 Illinois

Profile Details

NPI number 1689212177
LBN Legal business name Miklavcic, Amanda Christine
Credentials DNP PNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2019
Last updated Jan 31st, 2024 - about last year

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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