Carrie L Roy WHNP

NPI 1518284348 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1518284348
Gender Female
Enumeration Date 05/04/2010
Last Updated 05/04/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
900 MAIN ST
SUITE 660
PEORIA IL, 61602-1005, US
Phone (309) 687-4230
Fax (309) 272-7704
Business Location
900 MAIN ST
SUITE 660
PEORIA IL, 61602-1005, US
Phone (309) 687-4230
Fax (309) 272-7704
Toxanomy
Taxonomy Code 363LW0102X
License State Illinois
License Number 209008103
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According to our database, Carrie L Roy WHNP NPI is 1518284348, taxonomy code is 363LW0102X and license number is 209008103, license state is located at Illinois. Carrie L Roy WHNP physically located at 900 Main St, Peoria IL, 61602-1005. NPI Number Carrie L Roy WHNP has the Individual type.

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1518284348 NPI number is provided on an as is basis without warranty of any kind. 1518284348 is maintained by the National Plan & Provider Enumeration System. The contents of Carrie L Roy WHNP are for informational purposes only.