Individual
AUDREANA STACEY ZUMDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1301 KIWANIS DR, FREEPORT, IL 61032-6907
(815) 235-1406
Mailing address
1301 KIWANIS DR, FREEPORT, IL 61032-6907
(815) 235-1406
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209032007
WI
363LF0000X
Family Nurse Practitioner
Primary
209.032007
IL
Other
Enumeration date
03/25/2025
Last updated
06/09/2025
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