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Community College District 536
Family Nurse Practitioner in Godfrey, Illinois
NPI 1679758387

Community College District 536 is a Family Nurse Practitioner based in Godfrey, IL and is specialized in Family. Community College District 536 practices in Godfrey, IL. The NPI Number for Community College District 536 is 1679758387 and holds a License No. (Illinois).

The current practice location address for Community College District 536 is 5800 Godfrey Rd, Godfrey, IL and can be reached out via phone at 618-468-6800.

Location: 5800 Godfrey Rd, Godfrey, IL, 62035-2426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679758387
Provider Name
Community College District 536
Credential
Provider Entity Type
Organization
Address
5800 Godfrey Rd, Godfrey, IL, 62035-2426
Phone Number
618-468-6800
Fax Number
Provider Enumeration Date
01/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5800 Godfrey Rd
City
Godfrey
State
Illinois
Zip
62035-2426
Phone Number
618-468-6800
Fax Number
person
Provider Business Mailing Address Details
Address
5800 Godfrey Rd
City
Godfrey
State
Illinois
Zip
62035-2426
Phone Number
618-468-6800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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