Individual provider · Type 1 NPI
Amanda M. Eversgerd
Family Nurse Practitioner · Maryville, IL
NPI number
1922560101
Active
Practice location
20 Professional Park Dr
Maryville, IL 62062-5830
Mailing address
152 Forest Oaks Dr
Caseyville, IL 62232-2847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.019216 (IL) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1922560101
Amanda M. Eversgerd's National Provider Identifier is 1922560101, issued on Apr 4, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maryville, IL. The record was last updated on Apr 4, 2019.