Individual
KAYLA B WUEBBELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20 PROFESSIONAL PARK DR STE B, MARYVILLE, IL 62062-5830
(618) 288-1480
(618) 288-2407
Mailing address
20 PROFESSIONAL PARK DR STE B, MARYVILLE, IL 62062-5830
(618) 288-1480
(618) 288-2407
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016393
IL
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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