MRS. Amanda Catherine Wackt, FNP-BC

NPI #1801296108 in Eureka, Illinois

Provider Information

NPI Number
1801296108
Entity Type
Individual
Name
MRS. Amanda Catherine Wackt, FNP-BC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-BC
Enumeration Date
Aug 25, 2014
Last Updated
Aug 25, 2014

Practice Location

Address
1932 S MAIN ST
City
Eureka
ZIP Code
61530-1666
Phone
(309) 467-5000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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