Individual provider · Type 1 NPI
Irene P. Kasambira, APN
Psychiatric/Mental Health Nurse Practitioner · Peoria, IL
NPI number
1699700989
Active
Practice location
228 NE Jefferson
Peoria, IL 61603
Fax (309) 671-4695
Mailing address
PO Box 1346
Peoria, IL 61654-1346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 209002929 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209008305 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1699700989
Irene P. Kasambira, APN's National Provider Identifier is 1699700989, issued on Jul 12, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Peoria, IL. The record was last updated on Feb 8, 2016.