Individual
BILLIE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
610 TEXAS BLVD, BETHALTO, IL 62010-1754
(618) 391-5050
(618) 391-5051
Mailing address
6810 STATE ROUTE 162, BOX 215, MARYVILLE, IL 62062
(618) 391-6495
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209010880
IL
Other
Enumeration date
11/06/2013
Last updated
08/28/2024
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