Individual provider · Type 1 NPI

Amber Lee-Ann Koth, FNP-C

Family Nurse Practitioner · Peoria, IL

NPI number 1508388372 Active

Practice location

221 NE Glen Oak Ave
Peoria, IL 61636-4416

Call (309) 672-5500 Map

Other practice locations

1915 S Mattis Ave, Champaign, IL 61821-5919 · (217) 352-0516

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	277001734 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1508388372

Amber Lee-Ann Koth, FNP-C's National Provider Identifier is 1508388372, issued on Jul 12, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Nov 29, 2024.