AMANDA STROUD

MATTOON, IL
NPI1104218247
Former NameAMANDA MARTIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209012617)
Enumeration Date2015-02-26
Last Update Date2019-01-08
Business Address
AMANDA STROUD APN
200 DETTRO DR
MATTOON, IL 61938
Phone number: 217-238-3000
Mailing Address
AMANDA STROUD APN
1005 HEALTH CENTER DR STE 201
MATTOON, IL 61938-4693
Phone number: 217-238-6055
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