Individual provider · Type 1 NPI
Laura J. Amidon, N.P.
Family Nurse Practitioner · Mount Pulaski, IL
NPI number
1508967837
Active
Practice location
221 N Lafayette St
Mount Pulaski, IL 62548-1231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209-000540 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 277000386 (IL) |
Family Nurse Practitioner: Definition to come...
About NPI 1508967837
Laura J. Amidon, N.P.'s National Provider Identifier is 1508967837, issued on Sep 26, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mount Pulaski, IL. The record was last updated on Jan 21, 2025.