Individual
MRS. JANICE MARIE BOERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN CNS
Contact information
Practice address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
(309) 624-4010
Mailing address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
(309) 624-4010
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209004168
IL
364S00000X
Clinical Nurse Specialist
41207767
IL
Other
Enumeration date
07/12/2006
Last updated
04/24/2017
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