Individual
MS. ERICA VINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
513 N MAIN ST, ANNA, IL 62906-1668
(618) 833-4471
(618) 833-6267
Mailing address
513 N MAIN ST, ANNA, IL 62906-1697
(618) 833-4471
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018793
IL
Other
Enumeration date
02/27/2019
Last updated
05/01/2025
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