Individual provider · Type 1 NPI

Amanda L. Lavallee, APRN, CNP

Neonatal Nurse Practitioner · Peoria, IL

NPI number 1720148091 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Other practice locations

  • 1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 302-4600
  • 3917 West Rd, Los Alamos, NM 87544-2275 · (505) 661-9228

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000X209032798 (IL)
Critical Care Neonatal Nurse Practitioner 363LN0005XNP124639 (TX)
Neonatal Nurse Practitioner 363LN0000X2471949 (ID)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1720148091

Amanda L. Lavallee, APRN, CNP's National Provider Identifier is 1720148091, issued on Dec 9, 2006. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Peoria, IL. The record was last updated on Sep 9, 2025.