Healthcare Provider Details

I. General information

NPI: 1669782017
Provider Name (Legal Business Name): GRELINDA MARIA AMANTE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2010
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 BROADWAY BLESSING HOSPITAL ANESTHESIA
QUINCY IL
62305-7005
US

IV. Provider business mailing address

1005 BROADWAY BLESSING HOSPITAL ANESTHESIA
QUINCY IL
62305-7005
US

V. Phone/Fax

Practice location:
  • Phone: 217-223-8400
  • Fax: 217-223-9552
Mailing address:
  • Phone: 217-223-8400
  • Fax: 217-223-9552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number209008386
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1203019
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: