Individual
KATIE A MENENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12860 TROXLER AVE, HIGHLAND, IL 62249-2898
(618) 651-2810
(618) 651-0077
Mailing address
12860 TROXLER AVE, HIGHLAND, IL 62249-2898
(618) 651-2810
(618) 651-0077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041464694
IL
363L00000X
Nurse Practitioner
Primary
209026181
IL
Other
Enumeration date
09/01/2022
Last updated
11/29/2022
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