Individual provider · Type 1 NPI

Mary Neville, DNP, CPNP-AC

Critical Care Pediatric Nurse Practitioner · Peoria, IL

NPI number 1104545482 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Mailing address

945 E 2150 North Rd
Danvers, IL 61732-9018

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X209.025804 (IL)

Critical Care Pediatric Nurse Practitioner: Definition to come...

981 other providers at this address

Other critical care pediatric nurse practitioner providers in Peoria

See all in Peoria →

About NPI 1104545482

Mary Neville, DNP, CPNP-AC's National Provider Identifier is 1104545482, issued on Aug 22, 2022. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Peoria, IL. The record was last updated on Aug 22, 2022.