DEANNA L. TACDERAS

HERRIN, IL
NPI1295017663
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209009037)
Enumeration Date2011-09-12
Last Update Date2015-02-25
Business Address
Mrs. DEANNA L. TACDERAS APN
317 S 14TH ST
HERRIN, IL 62948-3671
Phone number: 618-988-6171
Mailing Address
Mrs. DEANNA L. TACDERAS APN
PO BOX 1105
INDIANAPOLIS, IN 46206-1105
Phone number: 618-549-5361
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