Individual
DENISE SHIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 N NORTH ST, PEORIA, IL 61606-1958
(309) 839-8984
Mailing address
1801 WATERMARK DR, COLUMBUS, OH 43215-7088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041394460
IL
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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