Individual provider · Type 1 NPI
Amanda Macke, APN
Pediatric Nurse Practitioner · Rockford, IL
NPI number
1407309941
Active
Practice location
1200 West State Street
Rockford, IL 61102-2112
Fax (815) 490-1881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209013183 (IL) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1407309941
Amanda Macke, APN's National Provider Identifier is 1407309941, issued on Aug 2, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rockford, IL. The record was last updated on Jan 16, 2020.