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Caitlin Rose Fernandez
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1699417006

Caitlin Rose Fernandez is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Caitlin Rose Fernandez practices in Peoria, IL. The NPI Number for Caitlin Rose Fernandez is 1699417006 and holds a License No. (Illinois).

The current practice location address for Caitlin Rose Fernandez is 1 Illini Dr, Peoria, IL and can be reached out via phone at 309-671-3000.

Location: 1 Illini Dr, Peoria, IL, 61605-2576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699417006
Provider Name
Caitlin Rose Fernandez
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Illini Dr, Peoria, IL, 61605-2576
Phone Number
309-671-3000
Fax Number
Provider Enumeration Date
04/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Illini Dr
City
Peoria
State
Illinois
Zip
61605-2576
Phone Number
309-671-3000
Fax Number
person
Provider Business Mailing Address Details
Address
1 Illini Dr
City
Peoria
State
Illinois
Zip
61605-2576
Phone Number
309-671-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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