Individual
HEATHER L HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5101 N EXECUTIVE DR, PEORIA, IL 61614-4868
(309) 677-0700
(309) 677-0701
Mailing address
5101 N EXECUTIVE DR, PEORIA, IL 61614-4868
(309) 677-0700
(309) 677-0701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-014586
IL
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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