1. Home
  2. Directory
  3. Illinois
  4. Marion
  5. Nurse Practitioner
  6. NPI Profile

ANNIE IMBODEN CNP
NPI 1093904179
Nurse Practitioner - Pediatrics in Marion, IL

Active since October 15, 2007
3412 OFFICE PARK DR, MARION, IL 62959(618) 993-0404(618) 993-1717 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annie Imboden Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNIE IMBODEN CNP (NPI 1093904179) is an individual pediatrics provider in Marion, Illinois, licensed in Illinois (209.006809) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1093904179
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameANNIE IMBODENCredential: CNP
Location Address3412 OFFICE PARK DRMarion, IL 62959-6477
Mailing Address3412 Office Park DriveMarion, IL 62959 · (618) 993-0404 · Fax (618) 993-1717
Phone(618) 993-0404
Fax(618) 993-1717
Sole ProprietorNo
Enumeration DateOctober 15, 2007
Last NPPES UpdateDecember 7, 2009
✔ NPI 1093904179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IL · 209.006809
3412 OFFICE PARK DR, Marion, IL 62959
Open in Google Maps ↗

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE WHARTON APN, NP-C
Nurse Practitioner (Family)
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 993-0404
TARRYN KACEY WHORTON
Nurse Practitioner (Pediatrics)
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 993-0404
DR. AMY ELIZABETH GERWE M.D.
Pediatrics
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 993-0404
SANDRA TATE APN, PMNCNS-BC
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 292-9999
ERICA MARIE GRIMM DO
Pediatrics
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 993-0404
JAYDA LEA KOSYDOR APRN
Nurse Practitioner (Pediatrics)
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 993-0404
SADASHIVAIAH BHASKAR M.D.
Pediatrics
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 993-0404
GINA GLADSON MSN FNP-C
Nurse Practitioner
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 993-0404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annie Imboden's NPI number?

The NPI number for Annie Imboden is 1093904179. It was assigned to this individual provider in the NPPES registry on October 15, 2007.

Where is Annie Imboden located?

Annie Imboden practices at 3412 Office Park Dr, Marion, IL 62959. The listed phone number is (618) 993-0404.

What is Annie Imboden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Annie Imboden was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.