AMANDA CHRISTINE MIKLAVCIC

PEORIA, IL
NPI1689212177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL  209026119)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: OH  APRN.CNP.026647)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-12-15
Last Update Date2024-01-31
Business Address
AMANDA CHRISTINE MIKLAVCIC DNP PNP-AC
530 NE GLEN OAK AVE
PEORIA, IL 61637-3026
Phone number: 309-624-2277
Mailing Address
AMANDA CHRISTINE MIKLAVCIC DNP PNP-AC
1 ILLINI DR
PEORIA, IL 61605-2576
Phone number: 309-671-3447