Nagele, Monica L

Nagele, Monica L is an individual health care provider with primary practice located at 1175 Cedar Ct , Carbondale IL 62901-5333. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Nagele, Monica L can be contacted via phone (618) 490-1045.

Contact Information

Primary practice address
1175 Cedar Ct Carbondale IL 62901-5333
Phone: (618) 490-1045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2021025602 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209023555 Illinois

Profile Details

NPI number 1093387854
LBN Legal business name Nagele, Monica L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2021
Last updated Sep 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093387854 NPPES
Missouri MEDICAID 420100878

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