Organization
EMPOWERME NP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID CHURCH (VICE PRESIDENT FINANCE)
(618) 972-5228
Entity
Organization
Contact information
Practice address
1815 N TOWANDA BARNES RD, BLOOMINGTON, IL 61705-2802
(844) 502-7996
Mailing address
1335 STRASSNER DR, BRENTWOOD, MO 63144-1872
(844) 502-7996
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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