Nurse Practitioner, Pediatrics
AMANDA MIKLAVCIC DNP PNP-AC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1689212177 · enumerated 2019-12-15 · record updated 2026-07-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1 ILLINI DR, PEORIA, IL, 61605-2576 (309) 671-3447 Google Maps Apple Maps OpenStreetMap
- Practice location 530 NE GLEN OAK AVE, PEORIA, IL, 61637-3026 (309) 624-2277 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 209026119 IL
- Nurse Practitioner 363L00000X · License APRN.CNP.026647 OH
Locations and evidence
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Practice location
PEORIA, IL, 616373026
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.