Individual
ALYSSA RUWE MARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6812 STATE ROUTE 162, SUITE 123, MARYVILLE, IL 62062-8553
(618) 288-9460
(618) 288-9461
Mailing address
6812 STATE ROUTE 162, SUITE 123, MARYVILLE, IL 62062-8553
(618) 288-9460
(618) 288-9461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015399
IL
Other
Enumeration date
01/31/2017
Last updated
11/09/2023
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