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Samantha L Munro
Family Nurse Practitioner in Maryville, Illinois
NPI 1942089768

Samantha L Munro is a Family Nurse Practitioner based in Ofallon, IL and is specialized in Family. Samantha L Munro practices in Maryville, IL. The NPI Number for Samantha L Munro is 1942089768 and holds a License No. 209028045 (Illinois).

The current practice location address for Samantha L Munro is 2236 Vadalabene Dr, Maryville, IL and can be reached out via phone at 618-726-2229.

Location: 2236 Vadalabene Dr, Maryville, IL, 62269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942089768
Provider Name
Samantha L Munro
Credential
Provider Entity Type
Individual
Gender
Female
Address
2236 Vadalabene Dr, Maryville, IL, 62269
Phone Number
618-726-2229
Fax Number
Provider Enumeration Date
09/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2236 Vadalabene Dr
City
Maryville
State
Illinois
Zip
62062-5844
Phone Number
618-726-2229
Fax Number
person
Provider Business Mailing Address Details
Address
2236 Vadalabene Dr
City
Maryville
State
Illinois
Zip
62062-5844
Phone Number
618-726-2229
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209028045 (Illinois)
Definition
Definition to come...
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