Individual
EMILY L BARNEWOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
221 NE GLEN OAK AVE, EMERGENCY DEPARTMENT, PEORIA, IL 61636-0001
(309) 672-5500
(309) 672-4246
Mailing address
3409 WINDMILL RD, BLOOMINGTON, IL 61704-1224
(309) 999-1090
(309) 999-1094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018701
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-018701
209-018701
IL
Enumeration date
03/19/2019
Last updated
03/19/2019
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