Most Relevant Information
Provider Data
| NPI Number: | 1003194820 |
| Provider Name: | AMANDA DANIELLE SACCONE APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3007039 |
Most Important Dates
| Enumeration Date: | 07/27/2011 |
| Last Updated: | 09/05/2024 |
Provider Practice Location
1930 BISHOP LN FL 12
LOUISVILLE
KY
402181921
Practice Location Phone/Fax
| Phone: | 5022725220 |
| Fax: | 5022725117 |
Provider Mailing Location
PO BOX 776351
CHICAGO
IL
606776351
Provider Mailing Phone/Fax
| Phone: | 5025889490 |
| Fax: | 5022725116 |