Individual
MS. HOLLIE TRETTENERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
715 BROADWAY ST, GILLESPIE, IL 62033-1166
(217) 839-4491
Mailing address
715 BROADWAY ST, GILLESPIE, IL 62033-1166
(217) 839-4491
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012517
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209012517
ST OF IL
IL
Enumeration date
02/26/2015
Last updated
02/26/2015
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