STEPHANIE T. FANALE

SPRINGFIELD, IL
NPI1225592470
Former NameSTEPHANIE T. FLATT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209018667)
Enumeration Date2019-01-22
Last Update Date2020-06-18
Business Address
STEPHANIE T. FANALE APRN
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
Mailing Address
STEPHANIE T. FANALE APRN
1025 S 6TH ST
SPRINGFIELD, IL 62703-2499
Phone number: 217-528-7541
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