Individual provider · Type 1 NPI

Kimani Fitzgerald

Family Nurse Practitioner · East Peoria, IL

NPI number 1740011154 Active

Practice location

1000 Centennial Dr
East Peoria, IL 61611-4916

Call (309) 324-0880 Map

Mailing address

6224 N Talisman Ter
Peoria, IL 61615-2749

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.029516 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1740011154

Kimani Fitzgerald's National Provider Identifier is 1740011154, issued on Aug 8, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East Peoria, IL. The record was last updated on Aug 8, 2024.