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Michelle A Garrison, AGACNP
Gerontology Nurse Practitioner in Peoria, Illinois
NPI 1669236840

Michelle A Garrison is a Gerontology Nurse Practitioner based in Peoria, IL and is specialized in Gerontology. Michelle A Garrison practices in Peoria, IL and has the professional credentials of AGACNP. The NPI Number for Michelle A Garrison is 1669236840 and holds a License No. 209029290 (Illinois).

The current practice location address for Michelle A Garrison is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-2000.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61615-9217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669236840
Provider Name
Michelle A Garrison
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61615-9217
Phone Number
309-655-2000
Fax Number
Provider Enumeration Date
02/08/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-2000
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
209029290 (Illinois)
Definition
Definition to come...
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