Individual
MELISSA TERHARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A
Contact information
Practice address
8600 NORTH STATE ROUTE 91, SUITE #250, PEORIA, IL 61615
(309) 692-5394
(309) 692-2538
Mailing address
2814 E 2525TH RD, MARSEILLES, IL 61341-9570
(309) 453-9350
(309) 692-2538
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041253749
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.005184
IL
Other
Enumeration date
09/05/2006
Last updated
11/03/2023
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