Organization
SERVANT'S HEART MIDWIFERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIE KRISTINE HERNANDEZ APRN (OWNER)
(309) 361-4974
Entity
Organization
Contact information
Practice address
1100 BEECH ST BLDG 7, NORMAL, IL 61761-1493
(309) 361-4974
(309) 643-1090
Mailing address
1707 W TETON DR, PEORIA, IL 61614-2637
(309) 361-4974
(309) 643-1090
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
041.370301
IL
Other
Enumeration date
09/17/2015
Last updated
09/13/2023
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