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DIETRA ANGELLY, FNP-C
FNP-C
Nurse Practitioner
NPI: 1902371313IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Nurse Practitioner
Nurse Practitioner — Family
Code: 363LF0000X
209018044(IL)
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
209018044(IL)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2018
Contact & Hours
- Address
- 3411 PROFESSIONAL PARK DR
MARION, IL 62959 - Phone
- (618) 969-8630
Quick Facts
- NPI
- 1902371313
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 8
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