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Search › Illinois › 163W00000X

Amanda Fairless, ADN, RN

NPI 1619742939 · on the registry since 2023

Practice

Address
2311 S Illinois Ave
Carbondale, IL 62903
Phone
(618) 457-6703
Fax
(618) 549-3734
Organisation at this address
Centerstone Of Illinois Inc
Centerstone Of Illinois, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
60

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois