Whalio Doctors

NPI 1609171206

Crystal Adel Honold, RNMSNCNRNCNS

Practitioner Clinical Nurse Specialist Carbondale, IL

Practice location

Address
305 W Jackson St STE 103, Carbondale, IL 62901-1474
Phone
(618) 351-4972
Fax
(618) 351-6522
Mailing address
PO Box 3988, Carbondale, IL 62902-3988

Registered specialties

Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence 209.008569 (IL)

Registry record

NPI
1609171206
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Jan 2011
Record last updated
24 Sep 2021

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.