Individual
PAIGE ETLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
4941 BENCHMARK CENTRE DR STE 100, SWANSEA, IL 62226-2038
(618) 624-9970
(618) 624-9973
Mailing address
4941 BENCHMARK CENTRE DR STE 100, SWANSEA, IL 62226-2038
(618) 624-9970
(618) 624-9973
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209025009
IL
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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