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Sara Good
Family Nurse Practitioner in Peoria, Illinois
NPI 1447766050

Sara Good is a Family Nurse Practitioner based in Peoria, IL and is specialized in Family. Sara Good practices in Peoria, IL. The NPI Number for Sara Good is 1447766050 and holds a License No. 209016263 (Illinois).

The current practice location address for Sara Good is 221 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-672-5522.

Location: 221 Ne Glen Oak Ave, Peoria, IL, 61636-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447766050
Provider Name
Sara Good
Credential
Provider Entity Type
Individual
Gender
Female
Address
221 Ne Glen Oak Ave, Peoria, IL, 61636-0001
Phone Number
309-672-5522
Fax Number
Provider Enumeration Date
12/19/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209016263 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
221 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61636-0001
Phone Number
309-672-5522
Fax Number
person
Provider Business Mailing Address Details
Address
221 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61636-0001
Phone Number
309-672-5522
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209016263 (Illinois)
Definition
Definition to come...
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