Individual
MR. JOHN L CULIBERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
400 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2028
(618) 498-6402
(618) 498-8411
Mailing address
1 FRONTENAC PL, GODFREY, IL 62035-1709
(618) 779-6379
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041310653
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
2020035384
MO
363LG0600X
Gerontology Nurse Practitioner
209022246
IL
Other
Enumeration date
04/02/2007
Last updated
03/07/2022
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