Individual
BRITTNI ROLDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
100 DR WARREN TUTTLE DR, HARRISBURG, IL 62946-2718
(618) 253-7671
Mailing address
1104 S 42ND ST, MOUNT VERNON, IL 62864-6216
(618) 214-7903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012554
IL
363LF0000X
Family Nurse Practitioner
277001930
IL
Other
Enumeration date
02/19/2015
Last updated
05/29/2023
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