Individual
MRS. TAMMY SUE NEYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-6892
(309) 655-3739
Mailing address
530 NE GLEN OAK, PEORIA, IL 61637
(309) 655-6892
(309) 655-3739
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209009115
IL
Other
Enumeration date
03/12/2012
Last updated
04/09/2019
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