Individual
MR. WILLIAM A ANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
4800 MAINE ST, QUINCY, IL 62305-5875
(217) 214-0444
(217) 214-9638
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 277-3960
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209004018
IL
363LA2200X
Adult Health Nurse Practitioner
139341
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821048372
—
MO
Enumeration date
05/12/2006
Last updated
06/03/2024
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