IndividualActive
Amanda Ealy, CRNA
NPI 1790446243 · Certified Registered Nurse Anesthetist · Quincy, IL
Provider details
- NPI number
- 1790446243
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 209024702 (IL)
Mailing address
611 W Park St
Urbana, IL 61801-2500
Registry dates
- Enumerated
- 2022-01-06
- Last updated
- 2025-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.