Individual
BRENDA POWELL-ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CWNP
Contact information
Practice address
505 E GRANT ST, MACOMB, IL 61455-3352
(309) 833-5959
(309) 833-4969
Mailing address
PO BOX 393, MACOMB, IL 61455-0393
(309) 833-2868
(309) 836-3779
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
IL
Other
Enumeration date
06/16/2005
Last updated
07/08/2007
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