Organization · Type 2 NPI

Central Illinois Friends of Pwa, Inc.

Community Health Nurse Practitioner · Normal, IL

NPI number 1982553913 Active

Practice location

900 Franklin Ave
Normal, IL 61761-4604

Mailing address

PO Box 5022
Peoria, IL 61601-5022

Specialties and licenses

TaxonomyCodeLicense
Community Health Nurse Practitioner Primary 363LC1500XNone listed

Community Health Nurse Practitioner: Definition to come...

Another provider at this address

About NPI 1982553913

Central Illinois Friends of Pwa, Inc.'s National Provider Identifier is 1982553913, issued on Jan 23, 2026. The primary taxonomy on file is Community Health Nurse Practitioner (363LC1500X), and the practice location is in Normal, IL. The record was last updated on Jan 23, 2026.