Individual provider · Type 1 NPI
Michele Lynn Mounce, CNP
Gerontology Nurse Practitioner · Peoria, IL
NPI number
1366819971
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
125 Heatherview Dr
East Peoria, IL 61611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | AP61333948 (WA) |
| Acute Care Nurse Practitioner | 363LA2100X | 209.012995 (IL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209012995 (IL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1366819971
Michele Lynn Mounce, CNP's National Provider Identifier is 1366819971, issued on Aug 31, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Peoria, IL. The record was last updated on Dec 12, 2023.