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Mrs. Andrea Celeste Blackwell
Family Nurse Practitioner in Peoria, Illinois
NPI 1295472900

Andrea Celeste Blackwell is a Family Nurse Practitioner based in Tremont, IL and is specialized in Family. Andrea Celeste Blackwell practices in Peoria, IL. The NPI Number for Andrea Celeste Blackwell is 1295472900 and holds a License No. 209023881 (Illinois).

The current practice location address for Andrea Celeste Blackwell is 221 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-241-6898.

Location: 221 Ne Glen Oak Ave, Peoria, IL, 61568-9287
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295472900
Provider Name
Andrea Celeste Blackwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
221 Ne Glen Oak Ave, Peoria, IL, 61568-9287
Phone Number
309-241-6898
Fax Number
Provider Enumeration Date
05/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
221 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61636-0001
Phone Number
309-241-6898
Fax Number
person
Provider Business Mailing Address Details
Address
221 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61636-0001
Phone Number
309-241-6898
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209023881 (Illinois)
Definition
Definition to come...
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