Amanda Louise Gross, FNP

NPI #1184385189 in Peoria, Illinois

Provider Information

NPI Number
1184385189
Entity Type
Individual
Name
Amanda Louise Gross, FNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
FNP
Enumeration Date
Jan 3, 2022
Last Updated
Sep 26, 2022

Practice Location

Address
7725 N KNOXVILLE AVE
City
Peoria
ZIP Code
61614-2079
Phone
(309) 495-0240

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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