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Individual

CASSANDRA LEE EUELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC, MSN, R.N.

Contact information

Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(779) 696-4400
Mailing address
2213 FARMDALE LN, FREEPORT, IL 61032-2981

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.385931
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209032088
IL

Other

Enumeration date
06/14/2012
Last updated
04/16/2025
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