Terryl A. Polanin in Peoria - Nurse Practitioner
Terryl A. Polanin - NPI 1235229535
Terryl A. Polanin is a Nurse Practitioner in Peoria, Illinois. Terryl A. Polanin practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Terryl A. Polanin is 1235229535. The last update date is 2020-03-11.
Terryl A. Polanin's current location address is 2214 N University St, Peoria, Illinois. You can contact this provider via phone number 3096807669 and fax number 3096818443. The mailing address for Terryl A. Polanin is 2214 N University St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terryl A. Polanin |
|---|---|
| Address | 2214 N University St, Peoria, Illinois |
| Phone Number | 3096807669 |
| Fax Number | 3096818443 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1235229535 |
|---|---|
| Provider Enumeration Date | 2006-10-15 |
| Last Updated Date | 2020-03-11 |
Provider Mailing Address Detail
| Address | 2214 N University St |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616043221 |
| Phone Number | 3096807669 |
| Fax Number | 3096818443 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 041162013/20 |
|
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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What is the Terryl A. Polanin's unique identification number?
The Terryl A. Polanin has been assigned the NPI (National Provider Identifier) Number 1235229535 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Terryl A. Polanin's physical address?
The Terryl A. Polanin is physically located at 2214 N University St, in the city of Peoria, IL, with the postal code 616043221.
What is Terryl A. Polanin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Terryl A. Polanin is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235229535 to Terryl A. Polanin?
The Centers for Medicare & Medicaid Services originally issued the 1235229535 to Terryl A. Polanin on 2006-10-15.
As of what date were the Terryl A. Polanin's details last updated?
The information pertaining to the Terryl A. Polanin, including its address, specialty, and other details, was most recently updated on 2020-03-11.
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