| Doctor Name: | AMANDA K BOITNOTT |
| NPI Number: | 1043533540 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP |
| License Number: | 041303590 |
| Business Practice Address: | 1302 Franklin Ave Suite 2200 Normal, IL - 617613551 |
| Business Phone Number: | 3098889900 |
| Business Fax Number: | 3098889919 |
| Mailing Address: | 1302 Franklin Ave, Suite 2200 NORMAL |
| State: | IL |
| Postal Code: | 617613551 |
| Phone Number: | 3098889900 |
| Fax Number: | 3098889919 |
| NPI Enumeration Date: | 03/11/2010 |
| NPI Last Update Date: | 07/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 041303590 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |