AMANDA E ENNEN FNP - NPI 1881030682 - Nurse Practitioner in Greenville, IL

Q: What is Amanda Ennen's NPI number?

The NPI number for Amanda Ennen is 1881030682. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Q: What is Amanda Ennen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Ennen was last updated on May 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Amanda E Ennen Fnp NPPES

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

AMANDA E ENNEN FNP (NPI 1881030682) is an individual family provider in Greenville, Illinois, licensed in Illinois (209.010436) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1881030682

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA E ENNENCredential: FNP

Location Address201 HEALTH CARE DRGreenville, IL 62246-1155

Mailing Address201 Health Care DrGreenville, IL 62246-1155 · (618) 664-1380 · Fax (618) 664-4239

Phone(618) 664-1380

Fax(618) 664-4239

Sole ProprietorNo

Enumeration DateMay 20, 2013

✔ NPI 1881030682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.010436

201 HEALTH CARE DR, Greenville, IL 62246

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Other Providers at the Same Location NPPES 9

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

DR. BOYD A. MCCRACKEN M.D.

Family Medicine