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

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