Individual
MRS. STEPHANIE ANN OBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-0629
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-0629
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
041336474
IL
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
209015551
IL
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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