Individual
MRS. HEATHER LANE MCCOLLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
500 JOHN DEERE RD, MOLINE, IL 61265-6892
(309) 779-4940
Mailing address
500 JOHN DEERE RD, MOLINE, IL 61265-6892
(309) 779-4940
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
IA A087090
IA
363LF0000X
Family Nurse Practitioner
209.005344
IL
Other
Enumeration date
06/19/2008
Last updated
07/18/2024
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