Individual
DR. DIANE ANDERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3626 W CHARTWELL RD, PEORIA, IL 61614-8123
(309) 678-6608
Mailing address
3626 W CHARTWELL RD, PEORIA, IL 61614-8123
(309) 678-6608
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209024993
IL
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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