Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. GLORIA ANN ENNENBACH, RN
ActiveMRS. GLORIA ANN ENNENBACH, RN is a Psychiatric/Mental Health Nurse healthcare provider located in FREEPORT, Illinois. NPI 1225544901 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse · FREEPORT, IL
Registration Details
- NPI Number
- 1225544901
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 18, 2017 (8.688766700116 yrs)
- Last Updated
- Dec 18, 2017
- License
-
041-332750 (IL)
Practice Information
- Address
-
701 W LAMM RDFREEPORT, IL, 610329630Browse IL providers · Browse ZIP 61032
- Phone
- 8152336162
- Fax
- 8152336167
- Primary Specialty
-
Psychiatric/Mental Health Nurse
163WP0807X
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.