Individual
MRS. CAMILLE DEANNA GREIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,RN,FNP-BC
Contact information
Practice address
1003 E MCCORD ST, CENTRALIA, IL 62801-3345
(618) 436-8000
Mailing address
6944 HOWARD SCHOOL RD, ASHLEY, IL 62808-2406
(573) 999-5853
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2019056786
MO
363LF0000X
Family Nurse Practitioner
Primary
209024272
IL
Other
Enumeration date
10/30/2019
Last updated
12/03/2021
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