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Individual

MR. STEVEN A NOLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
904 W TEMPLE AVE, EFFINGHAM, IL 62401-2178
(217) 342-1234
(217) 342-1230
Mailing address
PO BOX 372, MATTOON, IL 61938-0372

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.355743
IL
163W00000X
Registered Nurse
2007002239
MO
367500000X
Certified Registered Nurse Anesthetist
20110007025
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209009746
IL

Other

Enumeration date
02/16/2011
Last updated
12/11/2024
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