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Individual

ANDREA LYNN STRIBLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3132 OLD JACKSONVILLE RD, SUITE 200, SPRINGFIELD, IL 62704-7400
(217) 862-0800
Mailing address
PO BOX 4566, SPRINGFIELD, IL 62708-4566
(800) 577-5368
(217) 757-2021

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209007686
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041354287
RN LICENSE
IL
01
2009006639
ANCC CERTIFICATION
IL
Enumeration date
07/21/2009
Last updated
04/08/2016
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