Tracey Ann Antle, C.N.M

NPI #1598981193 in Peru, Illinois

Provider Information

NPI Number
1598981193
Entity Type
Individual
Name
Tracey Ann Antle, C.N.M
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Advanced Practice Midwife
Credential
C.N.M
Enumeration Date
Apr 18, 2007
Last Updated
Jul 26, 2011

Practice Location

Address
920 WEST ST
Address 2
BLDG B
City
Peru
ZIP Code
61354-2763
Phone
(815) 223-2944

Specialties & Taxonomy Codes

Specialty
Advanced Practice Midwife

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