Individual
TASHA R BESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5114 N GLEN PARK PLACE RD STE 220, PEORIA, IL 61614-4686
(309) 683-8100
(309) 683-8149
Mailing address
5114 N GLEN PARK PLACE RD STE 220, PEORIA, IL 61614-4686
(309) 683-8100
(309) 683-8149
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019010
IL
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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