NPI 1992461339

Amanda Schumm, LPN

Practitioner Licensed Practical Nurse Pontiac, IL

Practice location

Address: 920 W Custer Ave, Pontiac, IL 61764-1067
Phone: (815) 844-6109
Mailing address: PO Box 768, Pontiac, IL 61764-0768

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 043.106863 (IL)

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Registry record

NPI: 1992461339
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2021
Record last updated: 27 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.