Individual
TARA L PLUNKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2600
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2600
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
209006871
IL
Other
Enumeration date
04/23/2010
Last updated
08/28/2024
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