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MRS. ANDREA M SHEWALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
535 ROXBURY RD, ROCKFORD, IL 61107-5076
(815) 387-1717
Mailing address
11189 JASMINE DR, ROSCOE, IL 61073-9410
(815) 501-3115

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041351530
IL

Other

Enumeration date
10/15/2018
Last updated
10/15/2018
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