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Individual

ALESIA EATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-3561
(309) 655-2000
Mailing address
5430 FREDERICKSBURG RD STE 508, SAN ANTONIO, TX 78229-3561
(210) 541-8281
(210) 541-9123

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
209030812
IL
363LN0000X
Neonatal Nurse Practitioner
AP106521
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
540139
TX

Other

Enumeration date
07/10/2006
Last updated
10/22/2024
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