person
Ms. Carol Sue Fairless, RN
Psychiatric/Mental Health Registered Nurse in Vienna, Illinois
NPI 1619080082

Carol Sue Fairless is a Psychiatric/Mental Health Registered Nurse based in Vienna, IL and is specialized in Psychiatric/Mental Health. Carol Sue Fairless practices in Vienna, IL and has the professional credentials of RN. The NPI Number for Carol Sue Fairless is 1619080082 and holds a License No. (Illinois).

The current practice location address for Carol Sue Fairless is 408 E Vine St, Vienna, IL and can be reached out via phone at 618-658-2611 and via fax at 618-658-2501. You can also correspond with Carol Sue Fairless through the mailing address at 303 COUNTRY VLG, VIENNA, IL - 62995-1643 (mailing address contact number: 618-658-9295).

Location: 408 E Vine St, Vienna, IL, 62995-1643
person
Provider Profile Details
NPI Number
1619080082
Provider Name
Carol Sue Fairless
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
408 E Vine St, Vienna, IL, 62995-1643
Phone Number
618-658-2611
Fax Number
618-658-2501
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
408 E Vine St
City
State
Zip
62995-1612
Phone Number
618-658-2611
Fax Number
618-658-2501
person
Provider Business Mailing Address Details
Address
408 E Vine St
City
State
Zip
62995-1612
Phone Number
618-658-2611
Fax Number
618-658-2501
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Case Management
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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