AMANDA M MAVIS

SPRINGFIELD, IL
NPI1396269700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209016157)
Enumeration Date2017-07-27
Last Update Date2017-07-27
Business Address
AMANDA M MAVIS FNP
3225 HEDLEY RD
SPRINGFIELD, IL 62711-6248
Phone number: 217-726-7300
Mailing Address
AMANDA M MAVIS FNP
PO BOX 3428
SPRINGFIELD, IL 62708-3428
Phone number: 800-577-5368
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