Individual
BOBBI PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
106 19TH AVE STE 103, MOLINE, IL 61265-3700
(309) 779-7050
Mailing address
106 19TH AVE STE 103, MOLINE, IL 61265-3700
(309) 779-7050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A121789
IA
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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