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Individual

MS. DEBRA L MEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP, APRN-FPA

Contact information

Practice address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
(815) 490-1485
Mailing address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
(815) 490-1485

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
277002896
IL

Other

Enumeration date
06/16/2006
Last updated
01/30/2024
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