Most Relevant Information
Provider Data
| NPI Number: | 1003283821 |
| Provider Name: | AMANDA NICOLE HUDDLESTON RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 041.385692 |
Most Important Dates
| Enumeration Date: | 08/27/2015 |
| Last Updated: | 08/27/2015 |
Provider Practice Location
1420 HARRISON ST
QUINCY
IL
623016706
Practice Location Phone/Fax
| Phone: | 2172228480 |
| Fax: |
Provider Mailing Location
1420 HARRISON ST
QUINCY
IL
623016706
Provider Mailing Phone/Fax
| Phone: | 2172228480 |
| Fax: |