Individual
REETU PRIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6701 JERSEY RIDGE RD, DAVENPORT, IA 52807-3203
(563) 324-1621
Mailing address
5132 N ELSTON AVE, CHICAGO, IL 60630-2429
(847) 235-6130
(847) 235-6135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A155688
IA
Other
Enumeration date
10/02/2019
Last updated
11/01/2019
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