Individual
ILEANA JEAN KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
(352) 374-6116
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
(352) 374-6116
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
773302
FL
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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