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Individual

MARCELLA ALENE MINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN

Contact information

Practice address
303 N JACKSON ST, MORRISON, IL 61270-3042
(815) 772-4003
Mailing address
202 LAKESIDE DR, ERIE, IL 61250-9615
(309) 230-5183

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.022013
IL

Other

Enumeration date
09/30/2020
Last updated
01/28/2025
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