NPI 1124472196

Darah Dodt, FNPC

Practitioner Adult Health Nurse Practitioner Greenville, IL

Practice location

Address: 200 Health Care Dr, Greenville, IL 62246-1154
Phone: (618) 664-1230
Mailing address: 916 Talon Dr, O Fallon, IL 62269-1848

Registered specialties (2)

Adult Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence 209014192 (IL)

Other Nurse Practitioner providers in Illinois →

Adult Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence 2016006910 (MO)

Registry record

NPI: 1124472196
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2016
Record last updated: 10 May 2019

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.