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CAITLYN NICOLE EASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-0629
Mailing address
601 W MELBOURNE AVE, PEORIA, IL 61604-2845
(309) 657-6820

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
209030522
IL
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
209.030522
IL

Other

Enumeration date
09/19/2024
Last updated
10/10/2024
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