person
Mrs. Gloria Ann Ennenbach, RN
Child & Adolescent Psychiatric/Mental Health Registered Nurse in Freeport, Illinois
NPI 1225544901

Gloria Ann Ennenbach is a Child & Adolescent Psychiatric/Mental Health Registered Nurse based in Freeport, IL and is specialized in Psychiatric/Mental Health, Child & Adolescent. Gloria Ann Ennenbach practices in Freeport, IL and has the professional credentials of RN. The NPI Number for Gloria Ann Ennenbach is 1225544901 and holds a License No. 041-332750 (Illinois).

The current practice location address for Gloria Ann Ennenbach is 701 W Lamm Rd, Freeport, IL and can be reached out via phone at 815-233-6162 and via fax at 815-233-6167.

Location: 701 W Lamm Rd, Freeport, IL, 61032-9630
person
Provider Profile Details
NPI Number
1225544901
Provider Name
Gloria Ann Ennenbach
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
701 W Lamm Rd, Freeport, IL, 61032-9630
Phone Number
815-233-6162
Fax Number
815-233-6167
Provider Enumeration Date
12/18/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 W Lamm Rd
City
State
Zip
61032-9630
Phone Number
815-233-6162
Fax Number
815-233-6167
person
Provider Business Mailing Address Details
Address
701 W Lamm Rd
City
State
Zip
61032-9630
Phone Number
815-233-6162
Fax Number
815-233-6167
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
041-332750 (Illinois)
Definition
Definition to come...
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