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Mr. Ryan Eugene Parnham, NP-C
Family Nurse Practitioner in Peoria, Illinois
NPI 1003015447

Ryan Eugene Parnham is a Family Nurse Practitioner based in Peoria, IL and is specialized in Family. Ryan Eugene Parnham practices in Peoria, IL and has the professional credentials of NP-C. The NPI Number for Ryan Eugene Parnham is 1003015447 and holds a License No. 209006653 (Illinois).

The current practice location address for Ryan Eugene Parnham is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-624-8818.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61537-3167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003015447
Provider Name
Ryan Eugene Parnham
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
530 Ne Glen Oak Ave, Peoria, IL, 61537-3167
Phone Number
309-624-8818
Fax Number
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
809840 01 IL MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61537-3167
Phone Number
309-624-8818
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61537-3167
Phone Number
309-624-8818
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209006653 (Illinois)
Definition
Definition to come...
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