Individual
ADIBA MAKHAMMATOVNA SIROJEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
653 52ND AVE, MOLINE, IL 61265-7058
(319) 361-0204
Mailing address
4304 36TH AVE, MOLINE, IL 61265-5517
(309) 948-4279
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041414988
IL
363L00000X
Nurse Practitioner
Primary
209023796
IL
Other
Enumeration date
07/26/2021
Last updated
08/02/2022
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