Individual provider · Type 1 NPI
Andrea Celeste Blackwell
Family Nurse Practitioner · Peoria, IL
NPI number
1295472900
Active
Practice location
221 NE Glen Oak Ave, Labor And Delivery
Peoria, IL 61636-0001
Mailing address
14150 N Lake Windermere Rd
Tremont, IL 61568-9287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209023881 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1295472900
Andrea Celeste Blackwell's National Provider Identifier is 1295472900, issued on May 14, 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 May 14, 2022.