Organization
FREDONIA ENTERPRISES PLLC
Active
Organization
FREDONIA ENTERPRISES PLLC
Active
Other names
Heartland Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A MILANO FNP (OWNER)
(618) 204-2897
Entity
Organization
Contact information
Practice address
302 BROADWAY ST, MOUNT VERNON, IL 62864-5116
(618) 204-2897
(618) 242-7674
Mailing address
PO BOX 127, MOUNT VERNON, IL 62864-0052
(618) 204-2897
(618) 242-7674
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2025
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