Individual provider · Type 1 NPI

Deidra Diane Anderson, FNP

Family Nurse Practitioner · East Peoria, IL

NPI number 1083336234 Active

Practice location

133 Spinder Dr
East Peoria, IL 61611-0016

Mailing address

896 Banta Rd
Lowpoint, IL 61545-7580

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209026249 (IL)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1083336234

Deidra Diane Anderson, FNP's National Provider Identifier is 1083336234, issued on Sep 14, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East Peoria, IL. The record was last updated on Oct 26, 2022.