Individual
DANIELLE LYNN FRUEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1170 FORTUNE BLVD, SHILOH, IL 62269-7358
(618) 997-5266
Mailing address
3230 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-5950
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023043
IL
363LF0000X
Family Nurse Practitioner
213047
AR
Other
Enumeration date
09/29/2020
Last updated
04/05/2024
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