Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SUSAN JEAN FAIRLEY-HOLBACH, NURSE PRACTITIONER
Active Sole ProprietorMS. SUSAN JEAN FAIRLEY-HOLBACH, NURSE PRACTITIONER is a Acute Care Nurse Practitioner healthcare provider located in ZION, Illinois. NPI 1114162864 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · ZION, IL
Registration Details
- NPI Number
- 1114162864
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 10, 2008 (17.637139032057 yrs)
- Last Updated
- Feb 15, 2024
- License
-
209.007359 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2520 ELISHA AVEZION, IL, 600992676Browse IL providers · Browse ZIP 60099
- Phone
- 8478724888
- Fax
- 8478725716
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
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.