Individual
ALISON JEAN DRERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 N BELL SCHOOL RD, ROCKFORD, IL 61114-6624
(779) 696-0300
(815) 639-9433
Mailing address
4429 SOUTHVIEW WAY DR, SAINT LOUIS, MO 63129-6718
(815) 988-2852
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041529173
IL
163WX0003X
Inpatient Obstetric Registered Nurse
2018020114
MO
363LF0000X
Family Nurse Practitioner
Primary
209-030605
IL
Other
Enumeration date
08/11/2023
Last updated
03/20/2025
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