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Agnes Boehning, APN-FNP
Family Nurse Practitioner in Centralia, Illinois
NPI 1821134115

Agnes Boehning is a Family Nurse Practitioner based in Mount Vernon, IL and is specialized in Family. Agnes Boehning practices in Centralia, IL and has the professional credentials of APN-FNP. The NPI Number for Agnes Boehning is 1821134115 and holds a License No. 209003194 (Illinois).

The current practice location address for Agnes Boehning is 819 E Mccord St, Centralia, IL and can be reached out via phone at 618-533-1313 and via fax at 618-533-3711. You can also correspond with Agnes Boehning through the mailing address at 4117 S WATER TOWER PL, MOUNT VERNON, IL - 62864-6567 (mailing address contact number: 618-242-4848).

Location: 819 E Mccord St, Centralia, IL, 62864-6567
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Provider Profile Details
NPI Number
1821134115
Provider Name
Agnes Boehning
Credential
APN-FNP
Provider Entity Type
Individual
Gender
Female
Address
819 E Mccord St, Centralia, IL, 62864-6567
Phone Number
618-533-1313
Fax Number
618-533-3711
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209003194 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
819 E Mccord St
City
State
Zip
62801-3044
Phone Number
618-533-1313
Fax Number
618-533-3711
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Provider Business Mailing Address Details
Address
819 E Mccord St
City
State
Zip
62801-3044
Phone Number
618-533-1313
Fax Number
618-533-3711
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209003194 (Illinois)
Definition
Definition to come...
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