Individual
MRS. MOLLY WIEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1625 AVENUE OF THE CITIES, MOLINE, IL 61265-4856
(309) 797-5437
Mailing address
3830 E 58TH CT, DAVENPORT, IA 52807-2981
(309) 269-2957
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209014108
IL
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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