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Edward E Etherton, NP
Nurse Practitioner in Peoria, Illinois
NPI 1053662783

Edward E Etherton is a Nurse Practitioner based in Peoria, IL. Edward E Etherton practices in Peoria, IL and has the professional credentials of NP. The NPI Number for Edward E Etherton is 1053662783 and holds a License No. 209-009512 (Illinois).

The current practice location address for Edward E Etherton is 1701 W Garden St, Peoria, IL and can be reached out via phone at 309-680-7600 and via fax at 309-680-7637.

Location: 1701 W Garden St, Peoria, IL, 61605-3531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053662783
Provider Name
Edward E Etherton
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1701 W Garden St, Peoria, IL, 61605-3531
Phone Number
309-680-7600
Fax Number
309-680-7637
Provider Enumeration Date
09/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1701 W Garden St
City
Peoria
State
Illinois
Zip
61605-3531
Phone Number
309-680-7600
Fax Number
309-680-7637
person
Provider Business Mailing Address Details
Address
1701 W Garden St
City
Peoria
State
Illinois
Zip
61605-3531
Phone Number
309-680-7600
Fax Number
309-680-7637
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209-009512 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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