Individual
COLLEEN R NUXOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN,WHNP,RDMS
Contact information
Practice address
912 N HENRIETTA ST, EFFINGHAM, IL 62401-1788
(217) 342-3337
(217) 342-3338
Mailing address
PO BOX 784, 912 N HENRIETTA ST, EFFINGHAM, IL 62401-0784
(217) 342-3337
(217) 342-3338
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209000162
IL
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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