Individual
ALLYSON HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3061 7TH ST STE A, MOLINE, IL 61265-5903
(309) 249-0069
Mailing address
3061 7TH ST STE A, MOLINE, IL 61265-5903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.025659
IL
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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