Individual
ALYCE HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 HOSPITAL DR, METROPOLIS, IL 62960-2461
(618) 524-2182
Mailing address
12 HOSPITAL DR, METROPOLIS, IL 62960-2461
(618) 524-2182
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209020499
IL
363LF0000X
Family Nurse Practitioner
3014125
KY
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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