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NPI Code Detail

MEDICARE: BRITTANY ANNE MCGILL APRN, CNP

MEDICARE: BRITTANY ANNE MCGILL APRN, CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209023019IL

General Provider Information

NPI Number : 1356915599
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY ANNE MCGILL APRN, CNP
Provider Business Mailing Address
First Line : 133 SPINDER DR STE 4015
Second Line :
City : EAST PEORIA
State : IL
Zip : 61611-0016
Country : US
Telephone Number : 309-308-5100
Fax Number : 309-308-5102
Provider Business Practice Location Address
First Line : 133 SPINDER DR STE 4015
Second Line :
City : EAST PEORIA
State : IL
Zip : 61611-0016
Country : US
Telephone Number : 309-308-5100
Fax Number : 309-308-5102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2021
Last Update Date : 10/17/2024

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