Individual provider · Type 1 NPI
Amanda Leigh Knobloch, NP-C
Family Nurse Practitioner · Fults, IL
NPI number
1396110276
Active
Practice location
3601 Ll Rd
Fults, IL 62244-1231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2015042059 (MO) |
Family Nurse Practitioner: Definition to come...
About NPI 1396110276
Amanda Leigh Knobloch, NP-C's National Provider Identifier is 1396110276, issued on Dec 3, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fults, IL. The record was last updated on Dec 3, 2015.