NPI 1003426974

Vincent P Cagungun, RN

Practitioner Certified Registered Nurse Anesthetist Mattoon, IL

Practice location

Address: 1000 Health Center Dr, Mattoon, IL 61938-4644
Phone: (217) 258-4006
Mailing address: 912 Oakcrest Dr APT F, Charleston, IL 61920-1780

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 041.498060 (IL)

Other Nurse Anesthetist, Certified Registered providers in Illinois →

Registry record

NPI: 1003426974
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2020
Record last updated: 5 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.