IndividualActive
Amy Surburg, ANP
NPI 1356649313 · Adult Health Nurse Practitioner · Carbondale, IL
Provider details
- NPI number
- 1356649313
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209.008246 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
405 W Jackson
Pre-Anesthesia Department
Carbondale, IL 62901-9000
Phone: (618) 549-0721
Fax: (618) 529-0431
Approximate (ZIP-level) locationGet directions
Mailing address
405 W Jackson
Carbondale, IL 62901-9000
Registry dates
- Enumerated
- 2011-03-01
- Last updated
- 2011-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.