Individual
ANGELA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 MAIN ST STE 630, PEORIA, IL 61602-5024
(309) 672-4433
Mailing address
900 MAIN ST STE 630, PEORIA, IL 61602-5024
(309) 672-4433
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209005373
IL
363LF0000X
Family Nurse Practitioner
Primary
209005373
IL
Other
Enumeration date
11/22/2006
Last updated
03/02/2025
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