person
Amber Lee-ann Koth, FNP-C
Family Nurse Practitioner in Peoria, Illinois
NPI 1508388372

Amber Lee-ann Koth is a Family Nurse Practitioner based in Peoria, IL and is specialized in Family. Amber Lee-ann Koth practices in Peoria, IL and has the professional credentials of FNP-C. The NPI Number for Amber Lee-ann Koth is 1508388372 and holds a License No. 277001734 (Illinois).

The current practice location address for Amber Lee-ann Koth is 221 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-672-5500.

Location: 221 Ne Glen Oak Ave, Peoria, IL, 61636-4416
person
Provider Profile Details
NPI Number
1508388372
Provider Name
Amber Lee-ann Koth
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
221 Ne Glen Oak Ave, Peoria, IL, 61636-4416
Phone Number
309-672-5500
Fax Number
Provider Enumeration Date
07/12/2017
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
221 Ne Glen Oak Ave
City
State
Zip
61636-4416
Phone Number
309-672-5500
Fax Number
person
Provider Business Mailing Address Details
Address
221 Ne Glen Oak Ave
City
State
Zip
61636-4416
Phone Number
309-672-5500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
277001734 (Illinois)
Definition
Definition to come...
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