Stroud, Amanda
Stroud, Amanda is an individual health care provider with primary practice located at 200 Dettro Dr , Mattoon IL 61938. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stroud, Amanda can be contacted via phone (217) 238-3000.Contact Information
Primary practice address
200 Dettro Dr
Mattoon IL 61938
Phone: (217) 238-3000
Fax: (217) 238-3008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209012617 | Illinois |
Profile Details
| NPI number | 1104218247 |
|---|---|
| LBN Legal business name | Stroud, Amanda |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2015 |
| Last updated | Jan 8th, 2019 - about 7 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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