Individual
AMY M DURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1001 MAIN ST STE 500A, PEORIA, IL 61606
(309) 672-4980
(309) 671-2979
Mailing address
1001 MAIN ST STE 500A, PEORIA, IL 61606-2038
(309) 672-4980
(309) 671-2979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.017288
IL
363LF0000X
Family Nurse Practitioner
209017288
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174025357
NPI
IL
Enumeration date
03/05/2018
Last updated
03/18/2026
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