Individual
GINGER DARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
701 SAINT NICHOLAS DR, CAHOKIA, IL 62206-1837
(618) 746-1133
Mailing address
701 SAINT NICHOLAS DR, CAHOKIA HEIGHTS, IL 62206-1837
(618) 792-5970
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277001254
IL
Other
Enumeration date
08/28/2019
Last updated
05/23/2024
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