Individual provider · Type 1 NPI
Melissa M. Theobald, FNP
Family Nurse Practitioner · Peoria, IL
NPI number
1114763737
Active
Practice location
3626 N Sheridan Rd
Peoria, IL 61604-1401
Mailing address
19014 N Daily Rd
Princeville, IL 61559-9312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041362793 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209030474 (IL) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Osf Multi-Specialty GroupNon-Pharmacy Dispensing Site Peoria, IL NPI 1598359127
- Alyssa Williams BlakeAcute Care Nurse Practitioner Peoria, IL NPI 1740063148
- Andrea N. Machnacki, APRN, CNPFamily Nurse Practitioner Peoria, IL NPI 1790453702
- Tiffany Ashby-Funches, APN, FNP-BCFamily Nurse Practitioner Peoria, IL NPI 1386446110
Other family nurse practitioner providers in Peoria
- Ryan Eugene Parnham, NP-CFamily Nurse Practitioner Peoria, IL NPI 1003015447
- Roxanne R. McLaughlin, APRN, CNPFamily Nurse Practitioner Peoria, IL NPI 1003584590
- Brittany Rockhold, APNFamily Nurse Practitioner Peoria, IL NPI 1013369149
- Kristin ThompsonFamily Nurse Practitioner Peoria, IL NPI 1013602184
- Estera Otilia Alexa, FNPFamily Nurse Practitioner Peoria, IL NPI 1013658434
- Debra Myers, FNPCFamily Nurse Practitioner Peoria, IL NPI 1023103314
- Madeline TaylorFamily Nurse Practitioner Peoria, IL NPI 1033079355
- Connie Sue Haase, FNP-BCFamily Nurse Practitioner Peoria, IL NPI 1033366968
About NPI 1114763737
Melissa M. Theobald, FNP's National Provider Identifier is 1114763737, issued on Jul 3, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Oct 23, 2024.