Individual
KATIE NEVERGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1442 N 8TH ST, VANDALIA, IL 62471-1031
(618) 283-0266
Mailing address
1442 N 8TH ST, VANDALIA, IL 62471-1031
(618) 283-0266
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209020293
IL
Other
Enumeration date
11/04/2019
Last updated
11/26/2025
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