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Individual

MRS. CATHERINE MARIE AYRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2013024325
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
209012768
IL
363LP0200X
Pediatric Nurse Practitioner
5376028022
KS

Other

Enumeration date
07/11/2013
Last updated
04/04/2022
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