Individual
SHARRON RACHEL COEURVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
44 E MAIN ST STE 511, CHAMPAIGN, IL 61820-3649
(217) 355-3507
Mailing address
44 E MAIN ST STE 511, CHAMPAIGN, IL 61820-3649
(217) 355-3507
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041230252
IL
163WG0000X
General Practice Registered Nurse
166595
OH
163WM1400X
Nurse Massage Therapist (NMT)
166595
OH
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
041230252
IL
163WP0808X
Psychiatric/Mental Health Registered Nurse
166595
OH
Other
Enumeration date
04/02/2020
Last updated
04/24/2020
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