Individual provider · Type 1 NPI
Kelsi Marie Richard, APRN
Family Nurse Practitioner · Peoria, IL
NPI number
1235833260
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
405 E Goldenrod Dr
Flanagan, IL 61740-9114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209026947 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1235833260
Kelsi Marie Richard, APRN's National Provider Identifier is 1235833260, issued on Mar 27, 2023. 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 27, 2023.