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Roseann Cecilina Iverson
Family Nurse Practitioner in Woodstock, Illinois
NPI 1386099208

Roseann Cecilina Iverson is a Family Nurse Practitioner based in Woodstock, IL and is specialized in Family. Roseann Cecilina Iverson practices in Woodstock, IL. The NPI Number for Roseann Cecilina Iverson is 1386099208 and holds a License No. 209014218 (Illinois).

The current practice location address for Roseann Cecilina Iverson is 2000 Lake Ave, Woodstock, IL and can be reached out via phone at 815-337-7100 and via fax at 815-337-4793.

Location: 2000 Lake Ave, Woodstock, IL, 60098-7401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386099208
Provider Name
Roseann Cecilina Iverson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2000 Lake Ave, Woodstock, IL, 60098-7401
Phone Number
815-337-7100
Fax Number
815-337-4793
Provider Enumeration Date
04/28/2016
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
277000696 01 IL FULL PRACTICE AUTHORITY
institution
Provider Business Practice Location Address Details
Address
2000 Lake Ave
City
Woodstock
State
Illinois
Zip
60098-7401
Phone Number
815-337-7100
Fax Number
815-337-4793
person
Provider Business Mailing Address Details
Address
2000 Lake Ave
City
Woodstock
State
Illinois
Zip
60098-7401
Phone Number
815-337-7100
Fax Number
815-337-4793
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209014218 (Illinois)
Definition
Definition to come...
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