Individual
MRS. MARYANN H. PASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2 MEMORIAL DR, SUITE 122, ALTON, IL 62002-6723
(618) 465-2550
(618) 462-4167
Mailing address
2 MEMORIAL DR, SUITE 122, ALTON, IL 62002-6723
(618) 465-2550
(618) 462-4167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041272946
IL
163W00000X
Registered Nurse
123658
MO
363L00000X
Nurse Practitioner
123658
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
209001958
IL
Other
Enumeration date
12/29/2006
Last updated
10/11/2012
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