Individual
LEAH KNABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 SAINT ANTHONYS WAY, ALTON, IL 62002-4568
(618) 463-0248
Mailing address
901 E FAIRGROUNDS AVE, JERSEYVILLE, IL 62052-1218
(618) 946-2008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209022175
IL
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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