person
Alyssa Ann Dearth, MSN,APN,FNP-BC
Family Nurse Practitioner in Morris, Illinois
NPI 1376976365

Alyssa Ann Dearth is a Family Nurse Practitioner based in Morris, IL and is specialized in Family. Alyssa Ann Dearth practices in Morris, IL and has the professional credentials of MSN,APN,FNP-BC. The NPI Number for Alyssa Ann Dearth is 1376976365 and holds a License No. 209010633 (Illinois).

The current practice location address for Alyssa Ann Dearth is 151 W High St Lowr Level, Morris, IL and can be reached out via phone at 815-705-1000 and via fax at 815-705-2709.

Location: 151 W High St Lowr Level, Morris, IL, 60450-1207
person
Provider Profile Details
NPI Number
1376976365
Provider Name
Alyssa Ann Dearth
Credential
MSN,APN,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
151 W High St Lowr Level, Morris, IL, 60450-1207
Phone Number
815-705-1000
Fax Number
815-705-2709
Provider Enumeration Date
08/14/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
206147 01 IL MEDICARE (GROUP PTAN)
F400099927 01 IL MEDICARE (INDIVIDUAL PTAN)
209.010633 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
151 W High St Lowr Level
City
State
Zip
60450-1407
Phone Number
815-705-1000
Fax Number
815-705-2709
person
Provider Business Mailing Address Details
Address
151 W High St Lowr Level
City
State
Zip
60450-1407
Phone Number
815-705-1000
Fax Number
815-705-2709
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209010633 (Illinois)
Definition
Definition to come...
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