Amanda Marie Wilderman
Amanda Marie Wilderman is a Nurse Practitioner in Carbondale, Illinois. Qualified in 2019, 7 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.
- Years since qualifying
- 7
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
1100 W Diann LnCarbondale, IL 62901-5339
Phone: (618) 549-8006
Fax: (618) 549-8434
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1309 Allendale Blvd, Chester, IL 62233-1319 — (618) 497-4264
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X · Licence 209.020318 (IL) |
|---|
Record details
| NPI number | 1659915171 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 29, 2019 |
| Last updated in NPPES | March 24, 2023 |
| Certification date | March 24, 2023 |
| Mailing address | 1268 Cole Place Rd, Chester, IL 62233-2054 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Carbondale
-
Dr. Rollin Morris Perkins III, MD
374 E Grand Ave 0154E, Carbondale, IL 62901-6740 · (618) 453-4483