Individual provider · Type 1 NPI
Edward E. Etherton, NP
Nurse Practitioner · Peoria, IL
Practice location
1701 W Garden St
Peoria, IL 61605-3531
Fax (309) 680-7637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209-009512 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1053662783
Edward E. Etherton, NP's National Provider Identifier is 1053662783, issued on Sep 20, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Nov 18, 2013.