Individual
ALITA M. RASTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62702-3757
(217) 788-3030
Mailing address
2913 SANDY LN, SPRINGFIELD, IL 62711-5705
(217) 220-1656
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209015148
IL
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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