AMANDA ELYSSE SANDOVAL APRN-BC NPI 1285595850

NPI Information

  • NPI: 1285595850
  • Provider Name: AMANDA ELYSSE SANDOVAL, APRN-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2160 S 1ST AVE
    MAYWOOD, IL
    ZIP 60153
  • Phone: (708) 216-1581

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NPI Details

Amanda Elysse Sandoval, APRN-BC is a family nurse practitioner in Maywood, IL. Amanda Elysse Sandoval, APRN-BC NPI is 1285595850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 216-1581

The enumeration date for this NPI number is 11/21/2025 and was last updated on 11/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily209.033820ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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