Individual
DEBRA A FOPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19125 STATE ROUTE 127, CARLYLE, IL 62231-5303
(618) 594-3150
(618) 593-3108
Mailing address
19125 STATE ROUTE 127, CARLYLE, IL 62231-5303
(618) 594-3150
(618) 593-3108
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041273499
IL
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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