Individual provider · Type 1 NPI

Susan Marie Gaitros, FNP-C

Family Nurse Practitioner · Peoria, IL

NPI number 1881144939 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Fax (309) 624-9848

Mailing address

114 Apple Rd
Pekin, IL 61554-9543

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209014577 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1881144939

Susan Marie Gaitros, FNP-C's National Provider Identifier is 1881144939, issued on Oct 12, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Oct 12, 2016.