IndividualActive
Amy Witkus, FNP
NPI 1710355565 · Nurse Practitioner · Belleville, IL
Provider details
- NPI number
- 1710355565
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209013270 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4600 Memorial Dr Ste 120
Belleville, IL 62226-5359
Phone: (618) 222-1020
Approximate (ZIP-level) locationGet directions
Mailing address
4600 Memorial Dr Ste 120
Belleville, IL 62226-5359
Additional practice locations (1)
- 4500 Memorial DrBelleville, IL 62226-5360Phone: (618) 233-7750
Registry dates
- Enumerated
- 2015-09-10
- Last updated
- 2022-02-08
- Certified
- 2022-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.