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Barbara Lynn Dierking
Medical-Surgical Registered Nurse in Godfrey, Illinois
NPI 1235697491

Barbara Lynn Dierking is a Medical-Surgical Registered Nurse based in Godfrey, IL and is specialized in Medical-Surgical. Barbara Lynn Dierking practices in Godfrey, IL. The NPI Number for Barbara Lynn Dierking is 1235697491 and holds a License No. 2015032726 (Illinois).

The current practice location address for Barbara Lynn Dierking is 5700 Piasa Trl, Godfrey, IL and can be reached out via phone at 618-946-6126.

Location: 5700 Piasa Trl, Godfrey, IL, 62035-1030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235697491
Provider Name
Barbara Lynn Dierking
Credential
Provider Entity Type
Individual
Gender
Female
Address
5700 Piasa Trl, Godfrey, IL, 62035-1030
Phone Number
618-946-6126
Fax Number
Provider Enumeration Date
03/06/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2015032726 01 MO RN LICENSE
institution
Provider Business Practice Location Address Details
Address
5700 Piasa Trl
City
Godfrey
State
Illinois
Zip
62035-1030
Phone Number
618-946-6126
Fax Number
person
Provider Business Mailing Address Details
Address
5700 Piasa Trl
City
Godfrey
State
Illinois
Zip
62035-1030
Phone Number
618-946-6126
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
163WM0705X
License No.
2015032726 (Missouri)
Definition
Definition to come...
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