Individual
MICHELLE LYNN STICKELMAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
(309) 624-8522
Mailing address
6023 N ANDREWS LN, BRIMFIELD, IL 61517-9500
(309) 219-1446
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
209.022202
IL
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
209022202
IL
Other
Enumeration date
12/28/2020
Last updated
06/27/2024
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