Individual
MRS. HEATHER A BOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNS-BC
Contact information
Practice address
420 NE GLEN OAK AVE, SUITE 401, PEORIA, IL 61603
(309) 624-9844
Mailing address
420 NE GLEN OAK AVE, SUITE 401, PEORIA, IL 61603-3105
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
209013697
IL
Other
Enumeration date
05/27/2016
Last updated
10/21/2016
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