SHANNON E NIEBRUGGE

EFFINGHAM, IL
NPI1831825280
Former NameSHANNON E. TABBERT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: IL  209025287)
Enumeration Date2022-07-28
Last Update Date2022-07-28
Business Address
SHANNON E NIEBRUGGE APRN
1303 W EVERGREEN AVE STE 100
EFFINGHAM, IL 62401-1638
Phone number: 217-540-6123
Mailing Address
SHANNON E NIEBRUGGE APRN
1005 HEALTH CENTER DR STE 201
MATTOON, IL 61938-4653
Phone number: 217-868-2812
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