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Individual

ALISSA M BARTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN FNP-BC

Contact information

Practice address
5510 E STATE ST, ROCKFORD, IL 61108-2381
(815) 395-4555
Mailing address
5658 E STATE ST, ROCKFORD, IL 61108-2425
(815) 395-5509

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014827
IL

Other

Enumeration date
11/11/2016
Last updated
11/11/2016
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