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Mrs. Deanne C Rieckenberg, APRN
Family Nurse Practitioner in Sparta, Illinois
NPI 1003881244

Deanne C Rieckenberg is a Family Nurse Practitioner based in Sparta, IL and is specialized in Family. Deanne C Rieckenberg practices in Sparta, IL and has the professional credentials of APRN. The NPI Number for Deanne C Rieckenberg is 1003881244 and holds a License No. 209005645 (Illinois).

The current practice location address for Deanne C Rieckenberg is 215 S Burns Ave, Sparta, IL and can be reached out via phone at 618-443-4889.

Location: 215 S Burns Ave, Sparta, IL, 62286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003881244
Provider Name
Deanne C Rieckenberg
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
215 S Burns Ave, Sparta, IL, 62286
Phone Number
618-443-4889
Fax Number
Provider Enumeration Date
02/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041-315519 01 IL ILLINOIS LICENSE
2005004617 01 ANCC CERTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
215 S Burns Ave
City
Sparta
State
Illinois
Zip
62286
Phone Number
618-443-4889
Fax Number
person
Provider Business Mailing Address Details
Address
215 S Burns Ave
City
Sparta
State
Illinois
Zip
62286
Phone Number
618-443-4889
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209005645 (Illinois)
Definition
Definition to come...
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