person
Mary Irene Stowell, APRN
Adult Health Nurse Practitioner in Libertyville, Illinois
NPI 1942366588

Mary Irene Stowell is an Adult Health Nurse Practitioner based in Libertyville, IL and is specialized in Adult Health. Mary Irene Stowell practices in Libertyville, IL and has the professional credentials of APRN. The NPI Number for Mary Irene Stowell is 1942366588 and holds a License No. 209002150 (Illinois).

The current practice location address for Mary Irene Stowell is 14044 W Petronella Dr Ste 3, Libertyville, IL and can be reached out via phone at 847-549-6044 and via fax at 847-549-6058.

Location: 14044 W Petronella Dr Ste 3, Libertyville, IL, 60048-9656
person
Provider Profile Details
NPI Number
1942366588
Provider Name
Mary Irene Stowell
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
14044 W Petronella Dr Ste 3, Libertyville, IL, 60048-9656
Phone Number
847-549-6044
Fax Number
847-549-6058
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1174664882 01 IL PROACTIVE ALTERNATIVES PC
institution
Provider Business Practice Location Address Details
Address
14044 W Petronella Dr Ste 3
City
State
Zip
60048-9656
Phone Number
847-549-6044
Fax Number
847-549-6058
person
Provider Business Mailing Address Details
Address
14044 W Petronella Dr Ste 3
City
State
Zip
60048-9656
Phone Number
847-549-6044
Fax Number
847-549-6058
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209002150 (Illinois)
Definition
Definition to come...
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