IndividualActive
Amanda Martz
NPI 1295368207 · Certified Registered Nurse Anesthetist · Decatur, IL
Provider details
- NPI number
- 1295368207
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209.020804 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone: (217) 464-2966
Approximate (ZIP-level) locationGet directions
Mailing address
2261 E 1000 North Rd
Shelbyville, IL 62565-4187
Additional practice locations (1)
- 1000 Health Center DrMattoon, IL 61938-4644Phone: (217) 258-2440Fax: (217) 258-2186
Registry dates
- Enumerated
- 2020-02-18
- Last updated
- 2022-06-27
- Certified
- 2022-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.