NPI 1689375164
Nicole M Isenhart
Practice location
- Address
- 119 W Main St, Belleville, IL 62220-1560
- Phone
- (618) 979-0661
- Mailing address
- 1506 E Main St, Belleville, IL 62221-5436
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1689375164
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Mar 2023
- Record last updated
- 13 Mar 2023
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.