Individual
HANNAH ALYCE PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
241 W WEAVER RD STE 145C, FORSYTH, IL 62535-9767
(217) 876-5200
(217) 876-5206
Mailing address
1605 BRENTWOOD CT, MOUNT ZION, IL 62549-1115
(217) 254-3353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209.023790
IL
363LF0000X
Family Nurse Practitioner
209010664
IL
363LF0000X
Family Nurse Practitioner
Primary
209023790
IL
Other
Enumeration date
11/10/2021
Last updated
01/09/2023
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