Individual
MARY ANN LINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN NP RNC
Contact information
Practice address
705 NE JEFFERSON AVE, PEORIA, IL 61603-3843
(309) 673-0907
(309) 673-6914
Mailing address
9 APPLE TREE LN, EAST PEORIA, IL 61611-3501
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41180162
RN LICENSE
IL
Enumeration date
02/01/2006
Last updated
07/08/2007
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