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Individual

MRS. AMY MARIE MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
Mailing address
211 LINDEN LN, SHERRARD, IL 61281-9317
(309) 716-6878

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
209010286
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
C119377
IA

Other

Enumeration date
03/15/2013
Last updated
10/08/2014
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