IndividualActive
Agnes Boehning, APN-FNP
NPI 1821134115 · Family Nurse Practitioner · Centralia, IL
Provider details
- NPI number
- 1821134115
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN-FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209003194 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
819 E Mccord St
Centralia, IL 62801-3044
Phone: (618) 533-1313
Fax: (618) 533-3711
Approximate (ZIP-level) locationGet directions
Mailing address
4117 S Water Tower Pl
Mount Vernon, IL 62864-6567
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2011-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.