Individual
BRANDI ANN DOERFLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2250 REED STATION PKWY STE 305, CARBONDALE, IL 62901-8104
(618) 457-4999
Mailing address
PO BOX 9727, PEORIA, IL 61612-9727
(309) 886-9172
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209027883
IL
Other
Enumeration date
08/07/2023
Last updated
01/23/2024
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