Individual provider · Type 1 NPI

Sallie Van Daele, NP

Adult Health Nurse Practitioner · Rockford, IL

NPI number 1215097837 Active

Practice location

2350 N Rockton Ave
Rockford, IL 61103-3600

Fax (815) 971-9097

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X209-004897 (IL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1215097837

Sallie Van Daele, NP's National Provider Identifier is 1215097837, issued on Dec 12, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rockford, IL. The record was last updated on Jul 18, 2011.