Individual
TRICIA MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5510 UTICA RIDGE RD STE 100, DAVENPORT, IA 52807-2935
(563) 742-5280
(563) 742-5286
Mailing address
4480 UTICA RIDGE RD STE 108, BETTENDORF, IA 52722-1644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A155978
IA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
A155978
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041439390
NURSING LICENSE
IL
01
—
132018
NURSING LICENSE
IA
Enumeration date
08/14/2019
Last updated
02/15/2024
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