Gloria L Canaley in Carterville - Nurse Practitioner

Gloria L Canaley - NPI 1225144033

Gloria L Canaley is a Nurse Practitioner in Carterville, Illinois. Gloria L Canaley practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Gloria L Canaley is 1225144033. The last update date is 2013-11-27.

Gloria L Canaley's current location address is 109 California St, Carterville, Illinois. You can contact this provider via phone number 6189858221. The mailing address for Gloria L Canaley is 109 California St, Carterville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Gloria L Canaley
Address 109 California St, Carterville, Illinois
Phone Number 6189858221
Fax Number
Sole Proprietor N
Credentials APN

NPI Number Detail

NPI Number 1225144033
Provider Enumeration Date 2006-08-22
Last Updated Date 2013-11-27

Provider Mailing Address Detail

Address 109 California St
City Carterville
State Illinois (IL)
Post Code 629181923
Phone Number 6189858221
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 209003263
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
209003263 IL STATE LICENSE NUMBER
370966854002 IL --
CF3444 IL MEDICARE RR
83050 IL HEALTH ALLIANCE
370966854005 IL --

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FAQs about Gloria L Canaley

What is the unique 10-digit identifier code assigned to Gloria L Canaley by the Centers for Medicare & Medicaid Services?

The Gloria L Canaley has been issued the NPI (National Provider Identifier) 1225144033 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Gloria L Canaley is geographically located?

The Gloria L Canaley is physically situated at the following location: 109 California St, Carterville, IL, 629181923.

What is Gloria L Canaley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gloria L Canaley's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.

On what date did the Gloria L Canaley receive its 1225144033 assignment from the Centers for Medicare & Medicaid Services?

The Gloria L Canaley was assigned its 1225144033 by the Centers for Medicare & Medicaid Services on 2006-08-22.

As of what date were the Gloria L Canaley's details last updated?

The information pertaining to the Gloria L Canaley, including its address, specialty, and other details, was most recently updated on 2013-11-27.

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