Provider Information for 1578063954
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NOEL NIGHTINGALE-FOLLIS
Sex: Female
NPI: 1578063954
Last Updated: 2025-02-26
Certification Date: 2025-02-26
Certification Date: 2025-02-26
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1578063954 | ||||||||||||
| Enumeration Date | 2018-02-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2151 W WHITE OAKS DR SPRINGFIELD, IL 62704-6410 United States Phone: 217-319-9451 | Fax: | ||||||||||||
| Primary Practice Address | 2151 W WHITE OAKS DR STE D SPRINGFIELD, IL 62704-6410 United States Phone: 217-319-9451 | Fax: | ||||||||||||
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