Stefanie Poettker

NPI #1376417253 in Herrin, Illinois

Provider Information

NPI Number: 1376417253
Entity Type: Individual
Name: Stefanie Poettker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Oct 2, 2025
Last Updated: Oct 2, 2025

Practice Location

Address: 510 LINCOLN DR
City: Herrin
State: Illinois
ZIP Code: 62948-6334
Phone: (618) 997-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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