Edward E Etherton NP

  • NPI 1053662783
According to our database, the NPI number for Edward E Etherton NP is 1053662783 and activated since 11 years ago. Edward E Etherton NP is an individual provider who specializes in Nurse Practitioner, and the primary practice location is 1701 W Garden St, Peoria, IL 61605. You can also contact Edward E Etherton NP via telephone number is (309) 680-7600. Provider NPI information was last updated on 11/18/2013.

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Overview of Edward E Etherton NP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/20/2012
  • Last updated: 11/18/2013

Primary Scrop of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: 209-009512
  • License State: IL

Provider Mailing Address

  • Address: 1701 W Garden St
    Peoria, IL 61605
  • Phone: 309-680-7600
  • Fax: 309-680-7686

Provider Practice Location

  • Address: 1701 W Garden St
    Peoria, IL 61605
  • Phone: 309-680-7600
  • Fax: 309-680-7637

Scope of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: 209-009512
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Edward E Etherton NP?
  • A: The npi number for Edward E Etherton NP is 1053662783.
  • Q: What are Edward E Etherton NP's specialties?
  • A: Edward E Etherton NP's specialties are Nurse Practitioner and different specialities.
  • Q: What is the medical license for Edward E Etherton NP?
  • A: The medical license number for Edward E Etherton NP is 209-009512 and issued in IL in USA.
  • Q: Where is Edward E Etherton NP practice location?
  • A: Edward E Etherton NP is practicing at 1701 W Garden St, Peoria, IL 61605.
  • Q: How to contact Edward E Etherton NP?
  • A: You can contact Edward E Etherton NP via 309-680-7600.
Medicare Specialty
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.