Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KANDISE ROSE MARIE MOONEYHAM
Active Sole ProprietorKANDISE ROSE MARIE MOONEYHAM is a Family Nurse Practitioner healthcare provider located in OSWEGO, Illinois. NPI 1962181115 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · OSWEGO, IL
Registration Details
- NPI Number
- 1962181115
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2023 (3.0805698143653 yrs)
- Last Updated
- Feb 8, 2024
- Licenses
-
209028373 (IL)041452140 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
80 TEMPLETON DROSWEGO, IL, 605437000Browse IL providers · Browse ZIP 60543
- Phone
- 6305543456
- Fax
- 6305512970
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Registered Nurse
Other Family Nurse Practitioner Providers in OSWEGO, IL
| Name | Credential | NPI |
|---|---|---|
| VERA Z ARNOLD | — | 1295825958 |
| VINCENT BOTTA | A.P.N. | 1992121156 |
| MRS. NICOLE THERESE MARKS | A.P.N., F.N.P-BC | 1477952729 |
| MRS. KRISTEN JOANNE OLSZEWSKI | FNP | 1922533397 |
| MRS. YOLANDA CHENOWETH | APRN FNP-BC | 1801354410 |
| YONIA ROSELINE AHYEE | FNP | 1194344093 |
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.