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Nurse Practitioner
NPI: 1275201360IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
209023920(IL)
Ophthalmology Physician
Ophthalmology
Code: 207W00000X
209023920(IL)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 4505 N ROCKWOOD DR STE 1
PEORIA, IL 61615 - Phone
- (309) 589-1880
Quick Facts
- NPI
- 1275201360
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 5
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