Saint Francis Medical Center
Nurse Practitioner, Neonatal, Critical Care in Peoria, IL. Organization (NPI-2).
NPI number1982136271
StatusActive
Last updated in NPPESMar 28, 2017
Details
- NPI
- 1982136271
- Entity type
- Organization (NPI-2)
- Legal business name
- Saint Francis Medical Center
- Organization subpart
- No
- Enumeration date
- Mar 28, 2017
- Last updated
- Mar 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LN0005X | Nurse Practitioner, Neonatal, Critical Care | 209015725 | IL | Yes |
Practice location
530 Ne Glen Oak AvePeoria, IL 61637-0001
Phone 309-655-2000
Mailing address
530 Ne Glen Oak AvePeoria, IL 61637-0001
Phone 309-655-2000
Authorized official
Michelle Dawn Cunningham
Neonatal Nurse Practitioner
3098461410
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