Individual
ANITA DENISE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
993 W BAUER RD, NAPERVILLE, IL 60563-1108
(630) 408-1717
(888) 909-5815
Mailing address
993 W BAUER RD, NAPERVILLE, IL 60563-1108
(630) 408-1717
(888) 909-5815
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041134386
IL
363LF0000X
Family Nurse Practitioner
Primary
209.002740
IL
Other
Enumeration date
08/10/2012
Last updated
08/29/2012
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