Amanda M Clouser
Registered Nurse in Springfield, IL. Individual provider (NPI-1).
NPI number1164087276
StatusActive
Last updated in NPPESMay 3, 2019
Details
- NPI
- 1164087276
- Entity type
- Individual (NPI-1)
- Name
- Amanda M Clouser
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2019
- Last updated
- May 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 041430883 | IL | Yes |
Practice location
315 W Carpenter St Fl 1Springfield, IL 62702-4901
Phone 217-545-8000 · Fax 217-545-1141
Mailing address
Po Box 19678Springfield, IL 62794-9678
Phone 217-545-8000 · Fax 217-545-1141
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