Darlene L Etter is a Clinical in Peoria, Illinois. Darlene L Etter practices all healthcare services and medical treatments related to Clinical. The NPI Number for Darlene L Etter is 1275543019. The last update date is 2012-03-02.
Darlene L Etter's current location address is 1810 E Maple Ridge Dr, Peoria, Illinois. You can contact this provider via phone number 3094970790 and fax number 3094973564. The mailing address for Darlene L Etter is 1810 E Maple Ridge Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darlene L Etter |
|---|---|
| Address | 1810 E Maple Ridge Dr, Peoria, Illinois |
| Phone Number | 3094970790 |
| Fax Number | 3094973564 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W |
NPI Number Detail
| NPI Number | 1275543019 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2012-03-02 |
Provider Mailing Address Detail
| Address | 1810 E Maple Ridge Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616147916 |
| Phone Number | 3094970790 |
| Fax Number | 3094973564 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.0005984 |
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Post Comment/ Review Below
What is the unique identifier code issued to Darlene L Etter by the Centers for Medicare & Medicaid Services (CMS)?
The Darlene L Etter has been assigned the NPI (National Provider Identifier) 1275543019. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Darlene L Etter is located?
The Darlene L Etter is situated at the following address: 1810 E Maple Ridge Dr, Peoria, IL, 616147916.
What is Darlene L Etter's area of expertise and its corresponding taxonomy classification?
The Darlene L Etter's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275543019 to Darlene L Etter?
The Centers for Medicare & Medicaid Services originally issued the 1275543019 to Darlene L Etter on 2006-08-08.
As of what date were the details related to Darlene L Etter most recently updated or revised?
The information pertaining to Darlene L Etter, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-02.