Individual provider · Type 1 NPI
Stacey Neubert
Family Nurse Practitioner · Peoria, IL
NPI number
1831466473
Active
Practice location
3415 N Sheridan Rd
Peoria, IL 61604-1430
Fax (309) 685-6236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209007594 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1831466473
Stacey Neubert's National Provider Identifier is 1831466473, issued on Nov 28, 2011. 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 28, 2011.