Rejuvanation
NPI #1629213814 in Bloomington, Illinois
Provider Information
- NPI Number
- 1629213814
- Entity Type
- Organization
- Organization Name
- Rejuvanation
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Dec 2, 2008
- Last Updated
- Dec 2, 2008
Practice Location
- Address
- 11 CURRENCY DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-9398
- Phone
- (309) 678-4243
Authorized Official
- Name
- MR. SHAWN C SNIDER, MSN
- Title
- CNP
- Phone
- (309) 278-0566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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