Individual
ASHLEY A. WITTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1170 FORTUNE BLVD, SHILOH, IL 62269-7358
(618) 997-5266
(883) 431-2272
Mailing address
1170 FORTUNE BLVD, SHILOH, IL 62269-7358
(618) 997-5266
(883) 431-2272
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209010684
IL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
209010684
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209010684
IDFPR
IL
Enumeration date
07/11/2013
Last updated
08/14/2024
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