Individual
DANEA DEPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 369-3357
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 369-3357
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209010640
IL
Other
Enumeration date
04/12/2013
Last updated
12/09/2024
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