Individual
MRS. KRISTA M CARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
630 LOCUST ST, CARTHAGE, IL 62321-1459
(217) 357-2173
(217) 357-3610
Mailing address
630 LOCUST ST, CARTHAGE, IL 62321-1459
(217) 357-2173
(217) 357-3610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.342387
IL
363L00000X
Nurse Practitioner
Primary
209007126
IL
Other
Enumeration date
05/28/2008
Last updated
07/07/2008
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