Individual
DALLAS MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 230-1218
Mailing address
631 5TH AVENUE PL, ANDALUSIA, IL 61232-9407
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
H147114
IA
363LA2100X
Acute Care Nurse Practitioner
Primary
H180038
IA
Other
Enumeration date
07/30/2019
Last updated
10/22/2024
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