Individual
KANDI MUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0002
(309) 655-2000
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0002
(309) 655-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.026489
IL
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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