Individual provider · Type 1 NPI
Michelle L. Whitelow, NURSE PRACTITIONER
Family Nurse Practitioner · Peoria, IL
NPI number
1932479664
Active
Practice location
711 W John Gwynn Jr. Avenue
Peoria, IL 61605
Fax (309) 671-2188
Mailing address
2214 N University St
Peoria, IL 61604-3221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209-009324 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1932479664
Michelle L. Whitelow, NURSE PRACTITIONER's National Provider Identifier is 1932479664, issued on Jan 11, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Feb 9, 2016.