Individual
MRS. ANNETTA MARIE NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, NP-C
Contact information
Practice address
600 N COLLEGE AVE STE 120, GENESEO, IL 61254-1092
(309) 944-5342
(309) 944-8192
Mailing address
600 N COLLEGE AVE STE 120, GENESEO, IL 61254-1092
(309) 944-5342
(309) 944-8192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.010672
IL
Other
Enumeration date
08/26/2013
Last updated
04/21/2016
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