Individual
TYLER PETERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
629 W 6TH ST, STAUNTON, IL 62088-1724
(217) 556-8050
Mailing address
629 W 6TH ST, STAUNTON, IL 62088-1724
(217) 556-8050
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
041512953
IL
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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