Pamela Pecenka in Peoria - Nurse Practitioner

Pamela Pecenka - NPI 1669418380

Pamela Pecenka is a Nurse Practitioner in Peoria, Illinois. Pamela Pecenka practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Pamela Pecenka is 1669418380. The last update date is 2007-07-08.

Pamela Pecenka's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096552323. The mailing address for Pamela Pecenka is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Pamela Pecenka
Address 530 Ne Glen Oak Ave, Peoria, Illinois
Phone Number 3096552323
Fax Number
Sole Proprietor N
Credentials ANP

NPI Number Detail

NPI Number 1669418380
Provider Enumeration Date 2006-06-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 530 Ne Glen Oak Ave
City Peoria
State Illinois (IL)
Post Code 616370001
Phone Number 3096552323
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
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

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FAQs about Pamela Pecenka

What is the Pamela Pecenka's unique identification number?

The Pamela Pecenka has been assigned the NPI (National Provider Identifier) Number 1669418380 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Pamela Pecenka's facilities are geographically located?

The facilities of Pamela Pecenka are physically situated at the following location: 530 Ne Glen Oak Ave, Peoria, IL, 616370001.

What is the area of specialization for Pamela Pecenka, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Pamela Pecenka is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.

On what date was the 1669418380 assigned to Pamela Pecenka?

The Pamela Pecenka was issued its 1669418380 on 2006-06-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Pamela Pecenka, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Pamela Pecenka, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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