Individual
NANCY OLIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
6021 N WESTERN AVE, PEORIA, IL 61614-4045
(309) 692-5815
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.010695
IL
363LA2200X
Adult Health Nurse Practitioner
209010695
IL
363LG0600X
Gerontology Nurse Practitioner
209.010695
IL
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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