Suzan Cathleen Shane-gray APN, EDD

NPI 1144525452 - Clinical Nurse Specialist - 364SP0200X

NPI Details
NPI 1144525452
Gender Female
Enumeration Date 01/18/2011
Last Updated 01/18/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
530 NE GLEN OAK AVE
POB 113
PEORIA IL, 61637-0001, US
Phone (309) 224-8683
Fax
Business Location
530 NE GLEN OAK AVE
POB 113
PEORIA IL, 61637-0001, US
Phone (309) 224-8683
Fax
Toxanomy
Taxonomy Code 364SP0200X
License State Illinois
License Number 209.008562
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According to our database, Dr. Suzan Cathleen Shane-gray APN, EDD NPI is 1144525452, taxonomy code is 364SP0200X and license number is 209.008562, license state is located at Illinois. Suzan Cathleen Shane-gray APN, EDD physically located at 530 Ne Glen Oak Ave, Peoria IL, 61637-0001. NPI Number Suzan Cathleen Shane-gray APN, EDD has the Individual type.

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1144525452 NPI number is provided on an as is basis without warranty of any kind. 1144525452 is maintained by the National Plan & Provider Enumeration System. The contents of Suzan Cathleen Shane-gray APN, EDD are for informational purposes only.