Imboden, Annie

Imboden, Annie is an individual health care provider with primary practice located at 3412 Office Park Dr , Marion IL 62959-6477. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Imboden, Annie can be contacted via phone (618) 993-0404.

Contact Information

Primary practice address
3412 Office Park Dr Marion IL 62959-6477
Fax: (618) 993-1717
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209.006809 Illinois

Profile Details

NPI number 1093904179
LBN Legal business name Imboden, Annie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Dec 7th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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