Individual
CATHERINE NICOLE DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 STACEY BURK DR, FLORA, IL 62839-3241
(618) 662-2131
(618) 662-3077
Mailing address
12587 N 2000TH ST, TEUTOPOLIS, IL 62467-4019
(217) 663-2961
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209017940
IL
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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