HOLLY ANN GATES

MARION, IL
NPI1063991206
Former NameHOLLY RYDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  277.001378)
Enumeration Date2018-08-08
Last Update Date2022-08-22
Business Address
Mrs. HOLLY ANN GATES NP-C
3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959-5235
Phone number: 618-519-9200
Mailing Address
Mrs. HOLLY ANN GATES NP-C
109 CALIFORNIA ST PO BOX 577
CARTERVILLE, IL 62918-0577
Phone number: 618-519-9200