SearchIllinois103TS0200X

Amber Nelson, SSP

NPI 1871006478 · on the registry since 2017

Practice

Address
15501 E Avenue L
Lewistown, IL 61542
Phone
(309) 547-2231
Organisation at this address
Lewistown Cusd 97
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-11-06

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