Individual
MRS. MICHELLE DEANE MC LAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3333 W DEYOUNG ST, MARION, IL 62959
(618) 998-7947
(618) 998-7443
Mailing address
260 MARINA CIR, CREAL SPRINGS, IL 62922-1411
(619) 218-7158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209009197
IL
363LA2200X
Adult Health Nurse Practitioner
209.009197
IL
Other
Enumeration date
10/31/2011
Last updated
01/26/2023
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