NANCY GAYLE DAGEFOERDE

ROCKFORD, IL
NPI1073532511
Former NameNANCY GAYLE HALBERSTADT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209002451)
Enumeration Date2006-07-18
Last Update Date2009-11-12
Business Address
MRS. NANCY GAYLE DAGEFOERDE NP, APN
444 ROXBURY ROAD
ROCKFORD, IL 61107-5059
Phone number: 815-398-3000
Mailing Address
MRS. NANCY GAYLE DAGEFOERDE NP, APN
PO BOX 6003
ROCKFORD, IL 61126-6003
Phone number: 815-398-3000