Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY IVERSON, APN
Active Sole ProprietorMALLORY IVERSON, APN is a Nurse Practitioner healthcare provider located in WAUCONDA, Illinois. NPI 1366818692 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · WAUCONDA, IL
Registration Details
- NPI Number
- 1366818692
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2015 (10.946773704809 yrs)
- Last Updated
- Aug 20, 2015
- License
-
209013043 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
431 W LIBERTY STWAUCONDA, IL, 600842452Browse IL providers · Browse ZIP 60084
- Phone
- 8475262151
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in WAUCONDA, IL
| Name | Credential | NPI |
|---|---|---|
| REBECCA LAMBO | — | 1144626995 |
| MRS. PAMELA BASAS MALDA | NP | 1891238200 |
| TABITHA JENELL GARDNER | APN | 1093254443 |
| MICHELLE NAURECKI | APN | 1841718087 |
| HAZEL ACACIO | APNP | 1205471679 |
| BETH ANN KIRBY | APN | 1912652736 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.