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Michelle L Bertke, APN,CNP
Family Nurse Practitioner in Peoria, Illinois
NPI 1710922182

Michelle L Bertke is a Family Nurse Practitioner based in Peoria, IL and is specialized in Family. Michelle L Bertke practices in Peoria, IL and has the professional credentials of APN,CNP. The NPI Number for Michelle L Bertke is 1710922182 and holds a License No. (Illinois).

The current practice location address for Michelle L Bertke is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-2312 and via fax at 309-655-4154.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710922182
Provider Name
Michelle L Bertke
Credential
APN,CNP
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Phone Number
309-655-2312
Fax Number
309-655-4154
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207414 01 MEDICARE GROUP NO.
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-2312
Fax Number
309-655-4154
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-2312
Fax Number
309-655-4154
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
(Illinois)
Definition
Definition to come...
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