Amanda Shirley, is a
Registered Nurse based in Spring Grove, Illinois. Amanda Shirley is licensed to practice in Illinois (license number 041490532) and her current practice location is
918 Ember Ln, Spring Grove, Illinois. She can be reached at her office (for appointments etc.) via phone at
(505) 930-0543.
NPI number for Amanda Shirley is 1013722297 and her current mailing address is 918 Ember Ln, Spring Grove, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013722297.
Provider's Profile
Full Name | Amanda Shirley |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 918 Ember Ln, Spring Grove, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013722297
- Provider Enumeration Date: 02/12/2025
- Last Update Date: 02/12/2025
Medical Identifiers
Medical identifiers for Amanda Shirley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013722297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041490532 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Shirley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Shirley, 918 Ember Ln, Spring Grove, IL 60081-8291 Ph: () - | Amanda Shirley, 918 Ember Ln, Spring Grove, IL 60081-8291 Ph: (505) 930-0543 |
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