Cheryl M Wiemer in Peoria - Nurse Practitioner

Cheryl M Wiemer - NPI 1396877098

Cheryl M Wiemer is a Nurse Practitioner in Peoria, Illinois. Cheryl M Wiemer practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Cheryl M Wiemer is 1396877098. The last update date is 2008-12-11.

Cheryl M Wiemer's current location address is 200 E Pennsylvania Ave, Peoria, Illinois. You can contact this provider via phone number 3096768123 and fax number 3096768455. The mailing address for Cheryl M Wiemer is 200 E Pennsylvania Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Cheryl M Wiemer
Address 200 E Pennsylvania Ave, Peoria, Illinois
Phone Number 3096768123
Fax Number 3096768455
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1396877098
Provider Enumeration Date 2007-03-09
Last Updated Date 2008-12-11

Provider Mailing Address Detail

Address 200 E Pennsylvania Ave
City Peoria
State Illinois (IL)
Post Code 616033089
Phone Number 3096768123
Fax Number 3096768455

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 209002325
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 certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00240072 IL RAILROAD MEDICARE

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FAQs about Cheryl M Wiemer

What is the unique 10-digit identification code issued to Cheryl M Wiemer by the Centers for Medicare & Medicaid Services?

The Cheryl M Wiemer has been assigned the NPI (National Provider Identifier) 1396877098 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Cheryl M Wiemer?

The Cheryl M Wiemer is situated at 200 E Pennsylvania Ave, in the city of Peoria, state of IL, with the zip code 616033089.

What is the Cheryl M Wiemer's specialty and taxonomy code?

The Cheryl M Wiemer's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1396877098 to Cheryl M Wiemer?

The Cheryl M Wiemer received its 1396877098 assignment from the Centers for Medicare & Medicaid Services on 2007-03-09.

When was the information pertaining to Cheryl M Wiemer most recently updated or revised?

The details related to Cheryl M Wiemer, including its address, specialty, and other relevant information, were last updated or revised on 2008-12-11.

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