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Individual

MONICA L NAGELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1175 CEDAR CT, CARBONDALE, IL 62901-5333
(618) 490-1045
Mailing address
1908 BROWN PL, MURPHYSBORO, IL 62966-2423

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2021025602
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209023555
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420100878
MO
Enumeration date
07/12/2021
Last updated
09/09/2024
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