AMANDA ENNO APN - NPI 1740714989 - Nurse Practitioner in Skokie, IL

Q: What is Amanda Enno's NPI number?

The NPI number for Amanda Enno is 1740714989. It was assigned to this individual provider in the NPPES registry on April 14, 2017. The provider is also known as Amanda Rolle Apn.

Q: What is Amanda Enno's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Enno was last updated on May 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Amanda Enno Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA ENNO APN (NPI 1740714989) is an individual nurse practitioner in Skokie, Illinois, licensed in Illinois (209.015883) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1740714989

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMANDA ENNOCredential: APN

Location Address4709 GOLF RD STE 900Skokie, IL 60076-1244

Mailing Address4709 Golf Rd Ste 900Skokie, IL 60076-1244 · (847) 676-5394

Phone(847) 676-5394

Sole ProprietorNo

Enumeration DateApril 14, 2017

Last NPPES UpdateMay 10, 20214 updates tracked since enumeration

NPPES CertifiedMay 10, 2021

✔ NPI 1740714989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209.015883

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4709 GOLF RD STE 900, Skokie, IL 60076

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Other Names 1

Former Name (1)Amanda Rolle Apn

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULINE AHN MD

Pediatrics