Individual
ANGELA FAUN MCCONACHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
576 MICHELLE DR, COLUMBIA, IL 62236-1547
(618) 972-6222
(314) 362-4870
Mailing address
576 MICHELLE DR, COLUMBIA, IL 62236-1547
(618) 972-6222
(314) 362-4870
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2005001438
MO
363LF0000X
Family Nurse Practitioner
209005323
IL
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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