Individual
SUSANNE REMYNSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 NW 11TH ST, FAIRFIELD, IL 62837-1206
(618) 919-4010
Mailing address
303 NW 11TH ST, FAIRFIELD, IL 62837-1206
(618) 919-4010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041489873
IL
363L00000X
Nurse Practitioner
Primary
209026098
IL
Other
Enumeration date
09/27/2022
Last updated
10/05/2022
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