Tonya K Mcdougall in Peoria - Nurse Practitioner
Tonya K Mcdougall - NPI 1700917119
Tonya K Mcdougall is a Nurse Practitioner in Peoria, Illinois. Tonya K Mcdougall practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tonya K Mcdougall is 1700917119. The last update date is 2021-11-15.
Tonya K Mcdougall's current location address is 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois. You can contact this provider via phone number 3096768123 and fax number 3096768455. The mailing address for Tonya K Mcdougall is 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tonya K Mcdougall |
|---|---|
| Address | 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois |
| Phone Number | 3096768123 |
| Fax Number | 3096768455 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1700917119 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2021-11-15 |
Provider Mailing Address Detail
| Address | 420 Ne Glen Oak Ave Ste 401 |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616033168 |
| Phone Number | 3096768123 |
| Fax Number | 3096768455 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209001236 |
|
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 |
|---|---|---|---|
| P00092881 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tonya K Mcdougall by the Centers for Medicare & Medicaid Services?
The Tonya K Mcdougall has been issued the NPI (National Provider Identifier) 1700917119, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Tonya K Mcdougall is physically located?
The Tonya K Mcdougall is situated at the following address: 420 Ne Glen Oak Ave Ste 401, Peoria, IL 616033168.
What is Tonya K Mcdougall's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tonya K Mcdougall's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date was the 1700917119 assigned to Tonya K Mcdougall?
The Tonya K Mcdougall was issued its 1700917119 on 2007-03-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Tonya K Mcdougall's details last updated?
The information pertaining to the Tonya K Mcdougall, including its address, specialty, and other details, was most recently updated on 2021-11-15.
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