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NPI Code Detail

MEDICARE: MS. CATHLEEN J CONLEY M.S., R.N.

MEDICARE: MS. CATHLEEN J CONLEY M.S., R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0809XAdult Psychiatric/Mental Health Registered NurseIL

General Provider Information

NPI Number : 1871637447
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHLEEN J CONLEY M.S., R.N.
Provider Business Mailing Address
First Line : 1321 N 7TH ST
Second Line :
City : ROCHELLE
State : IL
Zip : 61068-1185
Country : US
Telephone Number : 815-562-3801
Fax Number : 815-562-4481
Provider Business Practice Location Address
First Line : 1321 N 7TH ST
Second Line :
City : ROCHELLE
State : IL
Zip : 61068-1185
Country : US
Telephone Number : 815-562-3801
Fax Number : 815-562-4481
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 07/08/2007

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