Individual
MRS. DEBORAH L NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N. A.P.N
Contact information
Practice address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 844-5343
(815) 844-5715
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.007237
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.007237
STATE LICENSE
IL
Enumeration date
09/05/2008
Last updated
06/25/2021
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