person
Mrs. Lissa J Diefendorf, APN
Adult Health Clinical Nurse Specialist in Peoria, Illinois
NPI 1427356336

Lissa J Diefendorf is an Adult Health Clinical Nurse Specialist based in Peoria, IL and is specialized in Adult Health. Lissa J Diefendorf practices in Peoria, IL and has the professional credentials of APN. The NPI Number for Lissa J Diefendorf is 1427356336 and holds a License No. 209008169 (Illinois).

The current practice location address for Lissa J Diefendorf is 403 W Corrington Ave, Peoria, IL and can be reached out via phone at 309-222-5736.

Location: 403 W Corrington Ave, Peoria, IL, 61604-2803
person
Provider Profile Details
NPI Number
1427356336
Provider Name
Lissa J Diefendorf
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
403 W Corrington Ave, Peoria, IL, 61604-2803
Phone Number
309-222-5736
Fax Number
Provider Enumeration Date
03/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
403 W Corrington Ave
City
State
Zip
61604-2803
Phone Number
309-222-5736
Fax Number
person
Provider Business Mailing Address Details
Address
403 W Corrington Ave
City
State
Zip
61604-2803
Phone Number
309-222-5736
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Adult Health
Taxonomy
License No.
209008169 (Illinois)
Definition
Definition to come...
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