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Kelsy Brikay Wasmuth, FNP
Family Nurse Practitioner in Maryville, Illinois
NPI 1336659838

Kelsy Brikay Wasmuth is a Family Nurse Practitioner based in Maryville, IL and is specialized in Family. Kelsy Brikay Wasmuth practices in Maryville, IL and has the professional credentials of FNP. The NPI Number for Kelsy Brikay Wasmuth is 1336659838 and holds a License No. 209016647 (Illinois).

The current practice location address for Kelsy Brikay Wasmuth is 6810 State Route 162 Ste 100, Maryville, IL and can be reached out via phone at 618-288-3616 and via fax at 618-288-3647.

Location: 6810 State Route 162 Ste 100, Maryville, IL, 62062-8560
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Provider Profile Details
NPI Number
1336659838
Provider Name
Kelsy Brikay Wasmuth
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
6810 State Route 162 Ste 100, Maryville, IL, 62062-8560
Phone Number
618-288-3616
Fax Number
618-288-3647
Provider Enumeration Date
10/10/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209016647 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
6810 State Route 162 Ste 100
City
State
Zip
62062-8560
Phone Number
618-288-3616
Fax Number
618-288-3647
person
Provider Business Mailing Address Details
Address
6810 State Route 162 Ste 100
City
State
Zip
62062-8560
Phone Number
618-288-3616
Fax Number
618-288-3647
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209016647 (Illinois)
Definition
Definition to come...
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