Individual provider · Type 1 NPI

Vanessa Lauren Roof, NP

Family Nurse Practitioner · Peoria, IL

NPI number 1063133429 Active

Practice location

5600 N Glen Elm Dr
Peoria, IL 61614-4340

Mailing address

16789 E 400 North Rd
Heyworth, IL 61745-9046

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Family Medicine) Physician 207QG0300X209.025865 (IL)
Family Nurse Practitioner Primary 363LF0000X209.025865 (IL)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1063133429

Vanessa Lauren Roof, NP's National Provider Identifier is 1063133429, issued on Sep 5, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Mar 24, 2023.