| Amanda Edgcomb, | |
|
4461 Progress Blvd, Peru, IL 61354-1109 | |
| (815) 223-9678 | |
| Not Available |
| Full Name | Amanda Edgcomb |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 4461 Progress Blvd, Peru, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942112263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 043090718 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Edgcomb, 4461 Progress Blvd, Peru, IL 61354-1109 Ph: (815) 223-9678 | Amanda Edgcomb, 4461 Progress Blvd, Peru, IL 61354-1109 Ph: (815) 223-9678 |
Dr. Cory Schultz, NDPHD Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2205 Marquette Rd, Apt. C2, Peru, IL 61354 Phone: 608-886-0563 |
Debbie Ann Long, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4461 Progress Blvd, Peru, IL 61354 Phone: 815-223-9678 |