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Stone Ridge Medical Group Sc
Nurse Practitioner in East Moline, Illinois
NPI 1306097894

Stone Ridge Medical Group Sc is a Nurse Practitioner based in East Moline, IL. Stone Ridge Medical Group Sc practices in East Moline, IL. The NPI Number for Stone Ridge Medical Group Sc is 1306097894 and holds a License No. 336053231 (Illinois).

The current practice location address for Stone Ridge Medical Group Sc is 306 46Th Ave, East Moline, IL and can be reached out via phone at 309-796-2329 and via fax at 309-796-1146.

Location: 306 46Th Ave, East Moline, IL, 61244-4281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306097894
Provider Name
Stone Ridge Medical Group Sc
Credential
Provider Entity Type
Organization
Address
306 46Th Ave, East Moline, IL, 61244-4281
Phone Number
309-796-2329
Fax Number
309-796-1146
Provider Enumeration Date
10/02/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
306 46Th Ave
City
East Moline
State
Illinois
Zip
61244-4281
Phone Number
309-796-2329
Fax Number
309-796-1146
person
Provider Business Mailing Address Details
Address
306 46Th Ave
City
East Moline
State
Illinois
Zip
61244-4281
Phone Number
309-796-2329
Fax Number
309-796-1146
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
085002304 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
036091695 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
336053231 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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