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Individual

MORGAN RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-7811
(309) 624-7734
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209013387
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
209013387
IL

Other

Enumeration date
02/16/2016
Last updated
12/05/2024
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