person
Vishakha Dewashrayee
Family Nurse Practitioner in Peoria, Illinois
NPI 1841925948

Vishakha Dewashrayee is a Family Nurse Practitioner based in Morton, IL and is specialized in Family. Vishakha Dewashrayee practices in Peoria, IL. The NPI Number for Vishakha Dewashrayee is 1841925948 and holds a License No. 209025476 (Illinois).

The current practice location address for Vishakha Dewashrayee is 7717 N Orange Prairie Rd, Peoria, IL and can be reached out via phone at 309-589-6800. You can also correspond with Vishakha Dewashrayee through the mailing address at 210 S OHIO AVE, MORTON, IL - 61550-2765 (mailing address contact number: ).

Location: 7717 N Orange Prairie Rd, Peoria, IL, 61550-2765
person
Provider Profile Details
NPI Number
1841925948
Provider Name
Vishakha Dewashrayee
Credential
Provider Entity Type
Individual
Gender
Female
Address
7717 N Orange Prairie Rd, Peoria, IL, 61550-2765
Phone Number
309-589-6800
Fax Number
Provider Enumeration Date
07/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7717 N Orange Prairie Rd
City
State
Zip
61615-9323
Phone Number
309-589-6800
Fax Number
person
Provider Business Mailing Address Details
Address
7717 N Orange Prairie Rd
City
State
Zip
61615-9323
Phone Number
309-589-6800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209.025476 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
209025476 (Illinois)
Definition
Definition to come...
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