SHELLANE MARIE TANGEN

CHAMPAIGN, IL
NPI1841713450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209015253)
Enumeration Date2017-07-25
Last Update Date2017-07-25
Business Address
Mrs. SHELLANE MARIE TANGEN BSN, MSN, FNP-BC
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-356-1558
Mailing Address
Mrs. SHELLANE MARIE TANGEN BSN, MSN, FNP-BC
2183 WAGON TRAIL RD
WHITE HEATH, IL 61884-9313
Phone number: 217-621-6874
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