Individual
MRS. MEGAN E NESTRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
W.H.N.P
Contact information
Practice address
2419 W CORNERSTONE CT, PEORIA, IL 61614-2529
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
209006200
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
209006200
IL
Other
Enumeration date
11/01/2006
Last updated
09/10/2024
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