Optimized Wellness Pc

Family Nurse Practitioner · Troy, IL

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At a glance

39 Dorothy Dr, Troy, IL 62294-1389

NPPES record updated Jan 22, 2024. Public records can lag behind changes at a practice.

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Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

39 Dorothy Dr
Troy, IL 62294-1389

Professional details: NPI, taxonomy & registry record

NPI1942833363

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Registry details

Primary taxonomy: Family Nurse Practitioner
Taxonomy code: 363LF0000X
Enumeration date: Feb 13, 2020
Record updated: Jan 22, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Family Nurse Practitioner

363LF0000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

39 Dorothy Dr
Troy, IL 62294-1389

Phone: (618) 530-5079
Fax: (618) 844-5021

Mailing address

PO BOX 55

BREESE, IL 622300055

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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