Individual
KATIE MICHELLE O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 238-4960
(217) 238-4951
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4653
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209022108
IL
Other
Enumeration date
11/04/2020
Last updated
03/17/2023
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