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Individual

REBECCA ANNE SOLOMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1230 E RUSHOLME ST, DAVENPORT, IA 52803-2452
(563) 421-8980
(563) 421-8989
Mailing address
1230 E RUSHOLME ST, DAVENPORT, IA 52803-2452
(563) 421-8980
(563) 421-8989

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209020176
IL
363LF0000X
Family Nurse Practitioner
Primary
A156445
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225009426
IL
05
1386889277
IL
Enumeration date
09/17/2019
Last updated
09/16/2024
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