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NPI Code Detail

MEDICARE: HEATHER L HOWELL APN

MEDICARE:   HEATHER L HOWELL  APN
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
1363L00000XNurse Practitioner209-014586IL

General Provider Information

NPI Number : 1699128892
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER L HOWELL APN
Provider Business Mailing Address
First Line : 5101 N EXECUTIVE DR
Second Line :
City : PEORIA
State : IL
Zip : 61614-4868
Country : US
Telephone Number : 309-677-0700
Fax Number : 309-677-0701
Provider Business Practice Location Address
First Line : 5101 N EXECUTIVE DR
Second Line :
City : PEORIA
State : IL
Zip : 61614-4868
Country : US
Telephone Number : 309-677-0700
Fax Number : 309-677-0701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2016
Last Update Date : 07/22/2016

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Directions to “ HEATHER L HOWELL APN” Practice Location

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