Individual
LAURA OBERHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1650 MIDTOWN RD, PERU, IL 61354-1274
(815) 664-1664
Mailing address
1650 MIDTOWN RD, PERU, IL 61354-1274
(815) 664-1664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.270733
IL
363LF0000X
Family Nurse Practitioner
2020023784
MO
363LF0000X
Family Nurse Practitioner
Primary
209.013615
IL
Other
Enumeration date
12/01/2015
Last updated
04/17/2024
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