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Individual

DEANNA MOORMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2023 VADALABENE DR, SUITE 200, MARYVILLE, IL 62062-5630
(618) 288-7408
Mailing address
2023 VADALABENE DR, SUITE 200, MARYVILLE, IL 62062-5630
(618) 288-7408

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209011286
IL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
209011286
IL

Other

Enumeration date
07/28/2014
Last updated
10/15/2024
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