Individual
MRS. AMY MARIE SURBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
405 W JACKSON, PRE-ANESTHESIA DEPARTMENT, CARBONDALE, IL 62901-9000
(618) 549-0721
(618) 529-0431
Mailing address
405 W JACKSON, PRE-ANESTHESIA DEPARTMENT, CARBONDALE, IL 62901-9000
(618) 549-0721
(618) 529-0431
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.008246
IL
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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