Individual provider · NPI-1

Amy Gail Corsolini

Nurse Practitioner, Family · Peru, IL

NPI number1992407738
StatusActive
Last updated in NPPESMar 17, 2023

Details

NPI
1992407738
Entity type
Individual (NPI-1)
Name
Amy Gail Corsolini
Sex
Female
Sole proprietor
No
Enumeration date
Mar 17, 2023
Certification date
Mar 17, 2023
Last updated
Mar 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209026913ILYes

Practice location

1650 Midtown Rd
Peru, IL 61354-1200

Phone 816-220-2645

Mailing address

1650 Midtown Rd
Peru, IL 61354-1200

Phone 816-220-2645

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Peru, IL