MARY MARGARET MADRAS

FAIRVIEW HEIGHTS, IL
NPI1134158728
Other NamePEGGY M MADRAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  277000522)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MO  140767)
363LF0000X Nurse Practitioner, Family
(Licence: MO  140767)
Enumeration Date2006-07-03
Last Update Date2020-10-23
Business Address
MARY MARGARET MADRAS APRN,BC
6505 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208-2001
Phone number: 314-687-2734
Mailing Address
MARY MARGARET MADRAS APRN,BC
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number: