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Mary Neville, DNP, CPNP-AC

Nurse Practitioner, Pediatrics, Critical Care in Peoria, IL. Individual provider (NPI-1).

NPI number1104545482
StatusActive
Last updated in NPPESAug 22, 2022

Details

NPI
1104545482
Entity type
Individual (NPI-1)
Name
Mary Neville
Credential
DNP, CPNP-AC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 22, 2022
Certification date
Jul 29, 2022
Last updated
Aug 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0222X Nurse Practitioner, Pediatrics, Critical Care209.025804ILYes

Practice location

530 Ne Glen Oak Ave
Peoria, IL 61637-0001

Phone 309-267-8760

Mailing address

945 E 2150 North Rd
Danvers, IL 61732-9018

Phone 309-267-8760

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Other Critical Care Pediatric Nurse Practitioner providers in Peoria, IL

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