Individual
MRS. CHRISTINE MEREDITH HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2 MEMORIAL DR, SUITE 220, ALTON, IL 62002-6723
(618) 474-1723
(618) 462-6988
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(618) 474-1723
(618) 462-6988
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.381061
IL
163W00000X
Registered Nurse
2003018128
MO
363LF0000X
Family Nurse Practitioner
Primary
209-008042
IL
Other
Enumeration date
12/21/2009
Last updated
01/30/2013
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