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Shannon M Krueger, APN
Pediatric Nurse Practitioner in Rockford, Illinois
NPI 1891942710

Shannon M Krueger is a Pediatric Nurse Practitioner based in Rockford, IL and is specialized in Pediatrics. Shannon M Krueger practices in Rockford, IL and has the professional credentials of APN. The NPI Number for Shannon M Krueger is 1891942710 and holds a License No. 209007215 (Illinois).

The current practice location address for Shannon M Krueger is 2300 N Rockton Ave, Rockford, IL and can be reached out via phone at 815-971-2726 and via fax at 815-971-9813.

Location: 2300 N Rockton Ave, Rockford, IL, 61103-3619
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Provider Profile Details
NPI Number
1891942710
Provider Name
Shannon M Krueger
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
2300 N Rockton Ave, Rockford, IL, 61103-3619
Phone Number
815-971-2726
Fax Number
815-971-9813
Provider Enumeration Date
08/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209007215 01 IL APN LICENSE
institution
Provider Business Practice Location Address Details
Address
2300 N Rockton Ave
City
State
Zip
61103-3619
Phone Number
815-971-2726
Fax Number
815-971-9813
person
Provider Business Mailing Address Details
Address
2300 N Rockton Ave
City
State
Zip
61103-3619
Phone Number
815-971-2726
Fax Number
815-971-9813
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
209007215 (Illinois)
Definition
Definition to come...
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