Doctor Name: | MRS. DANA OBERG |
NPI Number: | 1225021322 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | |
Business Practice Address: | 415 Health Department Rd Murphysboro, IL - 629666108 |
Business Phone Number: | 6186843143 |
Business Fax Number: | 6186871255 |
Mailing Address: | 613 Phillips Rd, CARBONDALE |
State: | IL |
Postal Code: | 629027461 |
Phone Number: | 6184572578 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |