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Thomas Frank Myers, RN

Registered Nurse in Peoria, IL. Individual provider (NPI-1).

NPI number1164092805
StatusActive
Last updated in NPPESJun 25, 2021

Details

NPI
1164092805
Entity type
Individual (NPI-1)
Name
Thomas Frank Myers
Credential
RN
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 25, 2021
Certification date
Jun 25, 2021
Last updated
Jun 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse041339152ILYes

Practice location

6901 N Galena Rd
Peoria, IL 61614-3193

Phone 309-689-2180

Mailing address

6901 Galena Rd
Peoria, IL 61614-3193

Phone 309-689-2180

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