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Individual

CINDY A HENLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ADVANCE PRACTICE NUR

Contact information

Practice address
1909 W COOLIDGE AVE, MARION, IL 62959
(618) 997-5677
(618) 997-3627
Mailing address
PO BOX 193, GOREVILLE, IL 62939-0193
(618) 995-9391

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209-002243
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209-002243
ADVANCED PRACTICE NURSE
IL
Enumeration date
09/20/2006
Last updated
10/08/2018
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