IndividualActive
Amanda Fowler Test
NPI 1013611797 · Community Health Worker · Goreville, IL
Provider details
- NPI number
- 1013611797
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
207 King Cir
Goreville, IL 62939-0020
Phone: (618) 663-8336
Approximate (ZIP-level) locationGet directions
Mailing address
2401 W Main St
Marion, IL 62959-1188
Registry dates
- Enumerated
- 2023-03-28
- Last updated
- 2023-03-28
- Certified
- 2023-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.