Katie Maberry

NPI 1487034526 · on the registry since 2015 · sole proprietor

Practice

Address: 1700 White St
Mount Vernon, IL 62864
Phone: (618) 242-4075
Organisation at this address: Petersen Management Company, Llc
Caravilla Residential Centers, Inc
Axiom Healthcare Of Mount Vernon Llc
Axiom Healthcare Of Mount Vernon Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois