Individual
EMILY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
815 MAIN ST, PEORIA, IL 61602-1076
(309) 672-4977
Mailing address
815 MAIN ST, PEORIA, IL 61602-1076
(309) 672-4977
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014767
IL
Other
Enumeration date
08/29/2016
Last updated
10/10/2016
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