Individual
ASHLEY N HUNDELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
203 E GRANT ST, COULTERVILLE, IL 62237-1623
(618) 758-2331
(618) 758-2819
Mailing address
PO BOX 378, SPARTA, IL 62286-0378
(618) 443-1338
(618) 443-1382
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015688
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
277002238
IL
Other
Enumeration date
03/03/2017
Last updated
09/03/2024
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