Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNIE IMBODEN, CNP
ActiveANNIE IMBODEN, CNP is a Pediatric Nurse Practitioner healthcare provider located in MARION, Illinois. NPI 1093904179 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · MARION, IL
Registration Details
- NPI Number
- 1093904179
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2007 (18.822051486962 yrs)
- Last Updated
- Dec 7, 2009
- License
-
209.006809 (IL)
Practice Information
- Address
-
3412 OFFICE PARK DRMARION, IL, 629596477Browse IL providers · Browse ZIP 62959
- Phone
- 6189930404
- Fax
- 6189931717
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Other Pediatric Nurse Practitioner Providers in MARION, IL
| Name | Credential | NPI |
|---|---|---|
| JAYDA LEA KOSYDOR | APRN | 1356935100 |
| MARGARET XANDERS | — | 1710798830 |
| TARRYN KACEY WHORTON | — | 1124987821 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.