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Individual

KATHY L SCHIERBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
517 N MAIN ST, ANNA, IL 62906-1668
(618) 833-2295
(618) 833-9058
Mailing address
6815 DUTCHMAN LAKE RD, TUNNEL HILL, IL 62972-3127
(618) 833-2295
(618) 833-9058

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209001177
IL
363LF0000X
Family Nurse Practitioner
209-001177
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209-001177
STATE LICENSE NUMBER
IL
Enumeration date
03/30/2007
Last updated
01/05/2023
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