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Individual

MRS. LAREE A SHULE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1490 E WALNUT ST, STE A, WATSEKA, IL 60970-1806
(815) 432-7693
(815) 936-7228
Mailing address
1490 E WALNUT ST STE A, WATSEKA, IL 60970-1806
(815) 432-7693
(815) 936-7228

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-002831
IL
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
209-002831
IL

Other

Enumeration date
05/23/2007
Last updated
08/22/2023
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