Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Christine Miklavcic, DNPPNP-AC

Individual provider Pediatric Nurse Practitioner · NPI 1689212177

Amanda Christine Miklavcic, DNPPNP-AC is a Pediatric Nurse Practitioner in Peoria, Illinois. Licensed in Illinois and Ohio. Registered with an NPI since 2019.

Licensed in
IL, OH
In the registry since
2019
Specialties on file
2

Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-3026
Phone: (309) 624-2277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 209026119 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.026647 (OH)

Record details

NPI number1689212177
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNPPNP-AC
Sole proprietorNo
NPI enumeratedDecember 15, 2019
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

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