Individual
ALISA RENEE PRANTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, PMHNP-CS
Contact information
Practice address
1650 MOON LAKE BLVD, HOFFMAN ESTATES, IL 60169-1010
(800) 432-5005
Mailing address
315 N BEVERLY LN, ARLINGTON HEIGHTS, IL 60004-6242
(847) 340-0765
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209019075
IL
Other
Enumeration date
04/04/2019
Last updated
06/11/2019
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