Individual
SUE ANNE VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN/CNP
Contact information
Practice address
544 W PERSHING RD, SUITE A, DECATUR, IL 62526
(217) 872-2400
(217) 875-4680
Mailing address
544 W PERSHING RD, SUITE A, DECATUR, IL 62526
(217) 876-8370
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209001529
IL
Other
Enumeration date
01/23/2007
Last updated
11/08/2017
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