SANDRA S NIENABER

ROCKFORD, IL
NPI1104015742
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209005207)
Enumeration Date2007-10-19
Last Update Date2007-10-19
Business Address
Ms. SANDRA S NIENABER
420 E STATE ST WINNEBAGO COUNTY JAIL
ROCKFORD, IL 61104-1015
Phone number: 815-319-6634
Mailing Address
Ms. SANDRA S NIENABER
1601 PARKVIEW AVE S200
ROCKFORD, IL 61107-1822
Phone number: 815-395-5851
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