Individual
NANCY ELLEN MCNITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
413 N APPLEKNOCKER ST, COBDEN, IL 62920-2121
(618) 893-2311
Mailing address
2011 GRAMMER RD, CARBONDALE, IL 62903-7504
(618) 201-1533
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
041306686
IL
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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