Individual
MR. MICHAEL ROBERT TAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2570 24TH ST STE 124, ROCK ISLAND, IL 61201-5394
(309) 779-3670
Mailing address
2570 24TH ST STE 124, ROCK ISLAND, IL 61201-5394
(309) 779-3670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041409388
IL
163W00000X
Registered Nurse
128262
IA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
209021644
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
H159862
IA
Other
Enumeration date
03/11/2020
Last updated
11/14/2023
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