Candra Dawn Kronewitter

Nurse Practitioner · Carbondale, IL

Individual Active NPI

NPI number 1831788637

Practice location

305 W Jackson St Ste 206
Carbondale, IL 62901-1474
Phone
(618) 457-3006

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NPI record

NPI
1831788637
Entity type
Individual (Type 1)
Enumeration date
January 15, 2021
Last updated
May 13, 2024
Certified
May 13, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 209021730 IL
Family Nurse Practitioner 363LF0000X 209021730 IL

Other practice locations (1)

  • 325 Tamarack Ln, O Fallon, IL 62269-2993 · (618) 624-2060

About Candra Kronewitter

Candra Dawn Kronewitter is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 305 W Jackson St Ste 206, Carbondale, IL 62901-1474. The NPI number 1831788637 was assigned on January 15, 2021 and the record was last updated on May 13, 2024.

Candra Kronewitter lists 2 licenses in the registry: #209021730 (IL) for Nurse Practitioner; #209021730 (IL) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Candra Dawn Kronewitter?

The NPI number is 1831788637.

What is the phone number of Candra Kronewitter?

The phone number listed for the practice location is (618) 457-3006.

Where is Candra Kronewitter located?

305 W Jackson St Ste 206, Carbondale, IL 62901-1474.

What is the taxonomy code for Candra Kronewitter?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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