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C Diane Reynolds, APN
Nurse Practitioner in Peoria, Illinois
NPI 1942503602

C Diane Reynolds is a Nurse Practitioner based in Dunlap, IL. C Diane Reynolds practices in Peoria, IL and has the professional credentials of APN. The NPI Number for C Diane Reynolds is 1942503602 and holds a License No. 277.000768 (Illinois).

The current practice location address for C Diane Reynolds is 900 Main St, Peoria, IL and can be reached out via phone at 309-353-0388.

Location: 900 Main St, Peoria, IL, 61525-9533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942503602
Provider Name
C Diane Reynolds
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
900 Main St, Peoria, IL, 61525-9533
Phone Number
309-353-0388
Fax Number
Provider Enumeration Date
12/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 Main St
City
Peoria
State
Illinois
Zip
61602-1005
Phone Number
309-353-0388
Fax Number
person
Provider Business Mailing Address Details
Address
900 Main St
City
Peoria
State
Illinois
Zip
61602-1005
Phone Number
309-353-0388
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
277000768 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
277.000768 (Illinois)
Definition
Definition to come...
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