Individual
AMY A HOMERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
(309) 624-3344
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
(309) 624-3344
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209020206
IL
363LN0000X
Neonatal Nurse Practitioner
Primary
209020206
IL
Other
Enumeration date
10/11/2019
Last updated
11/07/2024
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