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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578096806 | NPPES |
| Illinois | MEDICAID | 0360832704 |
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