Individual
ERICA SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8750
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8750
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.010912
IL
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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