| NPI Details | |
|---|---|
| NPI | 1003218116 |
| Gender | Female |
| Enumeration Date | 09/19/2014 |
| Last Updated | 09/19/2014 |
| Entity Type | Individual |
| Active | Over 3 years ago |
| Practice Location | |
|---|---|
| 2015 W AUSTIN DR PEORIA IL, 61614-3910, US |
|
| Phone | (309) 256-0632 |
| Fax | |
| Business Location | |
|---|---|
| 2015 W AUSTIN DR PEORIA IL, 61614, US |
|
| Phone | (309) 256-0632 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 364SE0003X |
| License State | Illinois |
| License Number | 209006898 |
| Remove 1003218116 NPI Number | |
According to our database, Faye Yetton NP NPI is 1003218116, taxonomy code is 364SE0003X and license number is 209006898, license state is located at Illinois. Faye Yetton NP physically located at 2015 W Austin Dr, Peoria IL, 61614-3910. NPI Number Faye Yetton NP has the Individual type.
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1003218116 NPI number is provided on an as is basis without warranty of any kind. 1003218116 is maintained by the National Plan & Provider Enumeration System. The contents of Faye Yetton NP are for informational purposes only.
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