Individual
MRS. SHANNON RENEE FOILES
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) 624-3096
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-3096
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
—
IL
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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