Individual
CHRISTINA ANN STOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
550 30TH AVE STE 12, MOLINE, IL 61265-5975
(309) 277-1461
(309) 736-1152
Mailing address
550 30TH AVE STE 12, MOLINE, IL 61265-5975
(309) 277-1461
(309) 736-1152
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.399791
IL
207R00000X
Internal Medicine Physician
Primary
209025316
IL
363LG0600X
Gerontology Nurse Practitioner
209.025316
IL
Other
Enumeration date
06/10/2022
Last updated
02/06/2025
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