Individual
MS. BARBARA J NALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5401 N KNOXVILLE AVE, SUITE 308, PEORIA, IL 61614-5098
(309) 692-5100
(309) 692-1400
Mailing address
5401 N KNOXVILLE AVE, SUITE 308, PEORIA, IL 61614-5098
(309) 692-5100
(309) 692-1400
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
209-002307
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
209002307
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041-180296
RN LICENSE
IL
01
—
209-002307
APN LICENSE
IL
01
—
NAL1-0428-3835
CERT OF WHC NP
IL
Enumeration date
02/02/2006
Last updated
08/03/2011
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