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Individual

SHELLEY ANNE SCAFF-RAMSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1310 N MISSOURI AVE, PEORIA, IL 61603-3105
(309) 624-5127
Mailing address
1310 N MISSOURI AVE, PEORIA, IL 61603-3105
(309) 624-5127

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
277001255
IL
363LP0200X
Pediatric Nurse Practitioner
277001255
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20900985
IL
Enumeration date
10/05/2012
Last updated
09/24/2025
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