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Dr. Suzan Cathleen Shane-gray, APN,EDD
Pediatric Clinical Nurse Specialist in Peoria, Illinois
NPI 1144525452

Suzan Cathleen Shane-gray is a Pediatric Clinical Nurse Specialist based in Peoria, IL and is specialized in Pediatrics. Suzan Cathleen Shane-gray practices in Peoria, IL and has the professional credentials of APN,EDD. The NPI Number for Suzan Cathleen Shane-gray is 1144525452 and holds a License No. 209.008562 (Illinois).

The current practice location address for Suzan Cathleen Shane-gray is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-224-8683.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
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Provider Profile Details
NPI Number
1144525452
Provider Name
Suzan Cathleen Shane-gray
Credential
APN,EDD
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Phone Number
309-224-8683
Fax Number
Provider Enumeration Date
01/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
State
Zip
61637-0001
Phone Number
309-224-8683
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
State
Zip
61637-0001
Phone Number
309-224-8683
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Pediatrics
Taxonomy
License No.
209.008562 (Illinois)
Definition
Definition to come...
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