Individual
DEANA M. MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNP
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 921-8929
(815) 227-2639
Mailing address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 921-8929
(815) 227-2639
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.014740
IL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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