Amanda E Ennen, FNP | |
201 Health Care Dr, Greenville, IL 62246-1155 | |
(618) 664-1380 | |
(618) 664-4239 |
Full Name | Amanda E Ennen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 201 Health Care Dr, Greenville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881030682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.010436 (Illinois) | Primary |
Entity Name | Hshs Holy Family Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205850690 PECOS PAC ID: 7517879349 Enrollment ID: O20040216000198 |
Entity Name | Cepamerica Illinois Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
Entity Name | Vituity - Illinois Auc Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306334198 PECOS PAC ID: 0547516932 Enrollment ID: O20180627000637 |
Mailing Address | Practice Location Address |
---|---|
Amanda E Ennen, FNP 201 Health Care Dr, Greenville, IL 62246-1155 Ph: (618) 664-1380 | Amanda E Ennen, FNP 201 Health Care Dr, Greenville, IL 62246-1155 Ph: (618) 664-1380 |
Ms. Tawny Nicole Thomas, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1380 Fax: 618-664-4239 | |
Mrs. Cynthia K. Gray, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Healthcare Dr, Greenville, IL 62246 Phone: 618-664-1380 Fax: 618-664-4239 | |
Darah Dodt, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1230 | |
Mr. Bobby R Blum, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1230 | |
Mrs. Angela Veanne Jarrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1380 Fax: 618-664-4239 | |
Mrs. Kathleen Alma Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Health Care Dr, Greenville, IL 62246 Phone: 618-664-2531 Fax: 618-664-2553 | |
Mrs. Julie M Doll, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1380 |