Amanda A Stump CPNP

NPI 1780021535 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1780021535
Gender Female
Enumeration Date 06/03/2013
Last Updated 06/03/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
4440 W 95TH ST
OAK LAWN IL, 60453-2600, US
Phone (708) 684-5300
Fax
Business Location
4440 W 95TH ST
OAK LAWN IL, 60453-2600, US
Phone (708) 684-5300
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Illinois
License Number 209.0100921
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According to our database, Mrs. Amanda A Stump CPNP NPI is 1780021535, taxonomy code is 363LP0200X and license number is 209.0100921, license state is located at Illinois. Amanda A Stump CPNP physically located at 4440 W 95th St, Oak Lawn IL, 60453-2600. NPI Number Amanda A Stump CPNP has the Individual type.

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1780021535 NPI number is provided on an as is basis without warranty of any kind. 1780021535 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda A Stump CPNP are for informational purposes only.