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Individual

MRS. ALEXA WURM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1201 RICKER RD, SALEM, IL 62881-4263
(618) 975-4621
Mailing address
19708 US HIGHWAY 50, CARLYLE, IL 62231-2328
(618) 975-4621

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041508434
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.031183
IL

Other

Enumeration date
05/22/2024
Last updated
12/05/2024
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