Individual provider · Type 1 NPI
Amanda Rose Dirnberger, FNP-BC
Family Nurse Practitioner · Chicago, IL
NPI number
1104474790
Active
Practice location
3229-43 W. 47th Pl.
Chicago, IL 60632
Mailing address
600 W Fulton St Ste 200
Chicago, IL 60661-1262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.019924 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104474790
Amanda Rose Dirnberger, FNP-BC's National Provider Identifier is 1104474790, issued on Aug 28, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Aug 28, 2019.