Individual
ANDREA A HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-9960
(309) 655-6967
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-9960
(309) 655-6967
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015877
IL
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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