Individual
DAWN MARIE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
515 NE GLEN OAK AVE STE 202, PEORIA, IL 61603-3166
(309) 624-4455
Mailing address
515 NE GLEN OAK AVE STE 202, PEORIA, IL 61603-3166
(309) 624-4455
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.029870
IL
Other
Enumeration date
06/20/2024
Last updated
02/05/2025
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