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Katie Nevergall
Family Nurse Practitioner in Vandalia, Illinois
NPI 1417591330

Katie Nevergall is a Family Nurse Practitioner based in Vandalia, IL and is specialized in Family. Katie Nevergall practices in Vandalia, IL. The NPI Number for Katie Nevergall is 1417591330 and holds a License No. 209020293 (Illinois).

The current practice location address for Katie Nevergall is 1442 N 8Th St, Vandalia, IL and can be reached out via phone at 618-283-0266.

Location: 1442 N 8Th St, Vandalia, IL, 62471-1031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417591330
Provider Name
Katie Nevergall
Credential
Provider Entity Type
Individual
Gender
Female
Address
1442 N 8Th St, Vandalia, IL, 62471-1031
Phone Number
618-283-0266
Fax Number
Provider Enumeration Date
11/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1442 N 8Th St
City
Vandalia
State
Illinois
Zip
62471-1031
Phone Number
618-283-0266
Fax Number
person
Provider Business Mailing Address Details
Address
1442 N 8Th St
City
Vandalia
State
Illinois
Zip
62471-1031
Phone Number
618-283-0266
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209020293 (Illinois)
Definition
Definition to come...
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