Organization
ADVANCED PRACTICE NURSING SERVICES INC
Active
Organization
ADVANCED PRACTICE NURSING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WHITAKER ANP (PRESIDENT)
(618) 792-3586
Entity
Organization
Contact information
Practice address
746 URBANNA DR, FREEBURG, IL 62243-1904
(618) 792-3586
Mailing address
PO BOX 303, MASCOUTAH, IL 62258-0303
(618) 792-3586
(636) 333-4510
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
08/06/2023
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