Individual
EFFIE MARIE BOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
330 VERMONT ST, QUINCY, IL 62301-2700
(217) 222-8440
Mailing address
330 VERMONT ST, QUINCY, IL 62301-2700
(217) 222-8440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041414425
IL
163WC1500X
Community Health Registered Nurse
041414425
IL
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041414425
IL
Other
Enumeration date
03/31/2025
Last updated
04/01/2025
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