IndividualActive
Amanda Madden
NPI 1093349235 · Neonatal Nurse Practitioner · Urbana, IL
Provider details
- NPI number
- 1093349235
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- AP07711 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
611 W Park St
Urbana, IL 61801-2501
Phone: (217) 383-3266
Fax: (217) 383-3463
Approximate (ZIP-level) locationGet directions
Mailing address
611 W Park St
Urbana, IL 61801-2501
Additional practice locations (1)
- 1541 Kings HwyShreveport, LA 71103-4228Phone: (318) 212-9440
Registry dates
- Enumerated
- 2020-02-26
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.