Individual
MANDY BARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3915 BARRING TRCE, PEORIA, IL 61615-2500
(309) 689-3030
(309) 689-6280
Mailing address
3915 BARRING TRCE, PEORIA, IL 61615-2500
(309) 689-3030
(309) 689-6280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.011973
IL
Other
Enumeration date
12/04/2014
Last updated
06/04/2024
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