Individual
ANDREA HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5111 N GLEN PARK PLACE RD, PEORIA, IL 61614-4675
(309) 683-5700
Mailing address
4625 N ROSEMEAD DR, PEORIA, IL 61614-5767
(309) 229-7485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.026941
IL
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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