| Ms Carol Sue Fairless, RN | |
|
408 E Vine St, Vienna, IL 62995-1612 | |
| (618) 658-2611 | |
| (618) 658-2501 |
| Full Name | Ms Carol Sue Fairless |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 408 E Vine St, Vienna, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619080082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0400X | Registered Nurse - Case Management | (Illinois) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carol Sue Fairless, RN 303 Country Vlg, Vienna, IL 62995-1643 Ph: (618) 658-9295 | Ms Carol Sue Fairless, RN 408 E Vine St, Vienna, IL 62995-1612 Ph: (618) 658-2611 |
Elizabeth Miller, RN, QMHP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 Oliver St, Vienna, IL 62995 Phone: 618-658-2611 Fax: 618-658-2501 | |
Taylor A Horn, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1060 Old Route 146 Loop, Vienna, IL 62995 Phone: 555-555-5555 |