Unknown Individual – Primary Care Nurse Practitioner, NPI 1831291830
Primary Care Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1001 HOLLOW VALLEY CT
CASEYVILLE, IL 622322838
Phone: (229) 291-2430
Fax: (618) 482-8311
Type: Mailing
James R Thompson Boulevard, East Saint Louis, Saint Clair County, Illinois, 62201, United States
BUILDING D, SUITE 2015
EAST SAINT LOUIS, IL 622011129
Phone: (618) 482-6959
Fax: (618) 482-8311
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62232)
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