Bryan Heppe, CRNA
Nurse Anesthetist, Certified Registered in Peoria, IL. Individual provider (NPI-1).
NPI number1396971024
StatusActive
Last updated in NPPESMay 31, 2024
Details
- NPI
- 1396971024
- Entity type
- Individual (NPI-1)
- Name
- Bryan Heppe
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2009
- Certification date
- May 31, 2024
- Last updated
- May 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209007651 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 041-322705 | IL |
Practice location
8600 N State Route 91Suite 250
Peoria, IL 61615-9541
Phone 309-692-5394 · Fax 309-692-2272
Mailing address
8600 N State Route 91Suite 250
Peoria, IL 61615-9541
Phone 309-692-5394 · Fax 309-692-2272
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