MRS. Gloria Ann Ennenbach, RN

NPI #1225544901 in Freeport, Illinois

Provider Information

NPI Number
1225544901
Entity Type
Individual
Name
MRS. Gloria Ann Ennenbach, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent
Credential
RN
Enumeration Date
Dec 18, 2017
Last Updated
Dec 18, 2017

Practice Location

Address
701 W LAMM RD
ZIP Code
61032-9630
Phone
(815) 233-6162

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Psychiatric/Mental Health, Child & AdolescentPsychiatric/Mental Health, Child & Adolescent

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