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NPI Code Detail

MEDICARE: MRS. JANET ELAINE STIERWALT NURSE PRACTITIONER

MEDICARE: MRS. JANET ELAINE STIERWALT NURSE PRACTITIONER
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
1363LF0000XFamily Nurse Practitioner209-005982IL

General Provider Information

NPI Number : 1548291289
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET ELAINE STIERWALT NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 800 E LOCUST ST
Second Line :
City : OLNEY
State : IL
Zip : 62450-2553
Country : US
Telephone Number : 618-395-7340
Fax Number : 618-395-6020
Provider Business Practice Location Address
First Line : 500 S SCOTT AVE
Second Line :
City : NEWTON
State : IL
Zip : 62448-1665
Country : US
Telephone Number : 618-783-2144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 01/18/2016

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