Lisa Nannie is a Primary Care in Peoria, Illinois. Lisa Nannie practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Lisa Nannie is 1417962937. The last update date is 2023-10-12.
Lisa Nannie's current location address is 8914 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096919110. The mailing address for Lisa Nannie is 8914 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Nannie |
|---|---|
| Address | 8914 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096919110 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1417962937 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2023-10-12 |
Provider Mailing Address Detail
| Address | 8914 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616151410 |
| Phone Number | 3096919110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 363Lp2300X |
| Licence No | 209001338 |
|
Definition: An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50884 | IL | HEALTH ALLIANCE | |
| IL01W1 | IL | JOHN DEERE | |
| 472307 | IL | HEALTHLINK | |
| 7215059 | IL | BCBS PPO |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lisa Nannie?
The Lisa Nannie has been issued the NPI (National Provider Identifier) 1417962937 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Lisa Nannie is physically located?
The Lisa Nannie is situated at the following address: 8914 N Knoxville Ave, Peoria, IL 616151410.
What is Lisa Nannie's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa Nannie's specialized field of practice is Primary Care, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp2300X.
On what date did the Lisa Nannie receive its 1417962937 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Nannie was assigned its 1417962937 by the Centers for Medicare & Medicaid Services on 2006-07-31.
When was the Lisa Nannie's information last updated?
The Lisa Nannie's information was last updated on 2023-10-12.