Angela Sue Peters NURSE PRACTITIONER A

NPI 1407132897 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1407132897
Gender Female
Enumeration Date 10/29/2011
Last Updated 12/20/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
2520 ELISHA AVE
ZION IL, 60099-2676, US
Phone (847) 872-4561
Fax
Business Location
2520 ELISHA AVE
ZION IL, 60099-2676, US
Phone (847) 872-4561
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Wisconsin
License Number 4674-33
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According to our database, Mrs. Angela Sue Peters NURSE PRACTITIONER A NPI is 1407132897, taxonomy code is 363LA2200X and license number is 4674-33, license state is located at Wisconsin. Angela Sue Peters NURSE PRACTITIONER A physically located at 2520 Elisha Ave, Zion IL, 60099-2676. NPI Number Angela Sue Peters NURSE PRACTITIONER A has the Individual type.

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1407132897 NPI number is provided on an as is basis without warranty of any kind. 1407132897 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Sue Peters NURSE PRACTITIONER A are for informational purposes only.