Individual
MRS. MARCIE LOUISE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1529 BOUNTIFUL LN, BELLEVILLE, IL 62220-2878
(618) 339-0109
Mailing address
1529 BOUNTIFUL LN, BELLEVILLE, IL 62220-2878
(618) 339-0109
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209031624
IL
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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