Individual provider · Type 1 NPI

Emily Ann Corona

Gerontology Nurse Practitioner · Peoria, IL

NPI number 1972242188 Active

Practice location

1001 Main St Ste 200
Peoria, IL 61606-2035

Mailing address

1645 W Devereux Dr
Peoria, IL 61614-4066

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X041422454 (IL)
Critical Care Medicine Nurse Practitioner 363LC0200X209.025312 (IL)
Gerontology Nurse Practitioner Primary 363LG0600X209025312 (IL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1972242188

Emily Ann Corona's National Provider Identifier is 1972242188, issued on Jun 4, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Peoria, IL. The record was last updated on Oct 20, 2022.