IndividualActive
Amy Fugate, AGPCNP
NPI 1962020560 · Gerontology Nurse Practitioner · Mattoon, IL
Provider details
- NPI number
- 1962020560
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209021558 (IL)
Mailing address
15730 N State Highway 130
Newton, IL 62448-3273
Registry dates
- Enumerated
- 2020-07-09
- Last updated
- 2024-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.