Provider Demographics
NPI:1669782017
Name:AMANTE, GRELINDA MARIA (CRNA)
Entity type:Individual
Prefix:
First Name:GRELINDA
Middle Name:MARIA
Last Name:AMANTE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1005 BROADWAY
Mailing Address - Street 2:BLESSING HOSPITAL ANESTHESIA
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62305-7005
Mailing Address - Country:US
Mailing Address - Phone:217-223-8400
Mailing Address - Fax:217-223-9552
Practice Address - Street 1:1005 BROADWAY
Practice Address - Street 2:BLESSING HOSPITAL ANESTHESIA
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62305-7005
Practice Address - Country:US
Practice Address - Phone:217-223-8400
Practice Address - Fax:217-223-9552
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209008386367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered