Organization
SAINT FRANCIS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DAWN CUNNINGHAM APN (NEONATAL NURSE PRACTITIONER)
(309) 846-1410
Entity
Organization
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
209015725
IL
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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