NPI 1225544901
Gloria Ann Ennenbach, RN
Practice location
- Address
- 701 W Lamm Rd, Freeport, IL 61032-9630
- Phone
- (815) 233-6162
- Fax
- (815) 233-6167
Registered specialties
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
Registry record
- NPI
- 1225544901
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Dec 2017
- Record last updated
- 18 Dec 2017
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.