Back to Search
TAMARRA SUBYANTORO, APN
APN
Family Nurse Practitioner
NPI: 1942842018IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
209019900(IL)
Nurse Practitioner
Nurse Practitioner
Code: 363L00000X
209019900(IL)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 5114 N GLEN PARK PLACE RD STE 110
PEORIA, IL 61614 - Phone
- (309) 683-5600
Quick Facts
- NPI
- 1942842018
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 7
Are you this provider?
Claim Your Profile