National Provider Identifier Database

CLARA AMPADU, FNP-C – NPI #1578096806
Family


Contact Information

CLARA AMPADU, FNP-C
15 PARK PL
SWANSEA, IL62226-2918
Phone: 618-580-1359
Fax: 618-234-7242
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Nurse Practitioner 363L00000X

* Indicates primary specialty

NPI Profile & details for CLARA AMPADU

NPI Number 1578096806
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 04/04/2017
Last updated 06/28/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 209015985
  • MO License #: 2017008662
  • IL Medicaid: 0360832704
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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