Individual
ALLISON J BLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 7TH ST, MOLINE, IL 61265-6866
(309) 762-9800
Mailing address
600 N COLLEGE AVE STE 120, GENESEO, IL 61254-1092
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.01249
IL
363LF0000X
Family Nurse Practitioner
Primary
209019249
IL
Other
Enumeration date
01/29/2019
Last updated
02/08/2024
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