Individual
MRS. RACHEL MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5401 N KNOXVILLE AVE STE 203, PEORIA, IL 61614-5021
(309) 689-6093
Mailing address
112 NE CRESCENT AVE, PEORIA, IL 61606-1901
(309) 672-4670
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209016208
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209016208
LICENSE
IL
Enumeration date
07/31/2017
Last updated
01/07/2020
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