Individual
NICOLAS A YEMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
8600 STATE ROUTE 91 STE 130, PEORIA, IL 61615-7829
(309) 683-5050
Mailing address
8600 STATE ROUTE 91 STE 130, PEORIA, IL 61615-7829
(309) 683-5050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-014860
IL
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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