Judith A Dansizen in Peoria - Clinical Nurse Specialist
Judith A Dansizen - NPI 1558493155
Judith A Dansizen is a Clinical Nurse Specialist in Peoria, Illinois. Judith A Dansizen practices all healthcare services and medical treatments related to Clinical Nurse Specialist. The NPI Number for Judith A Dansizen is 1558493155. The last update date is 2021-11-15.
Judith A Dansizen'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 Judith A Dansizen is 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith A Dansizen |
|---|---|
| Address | 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois |
| Phone Number | 3096768123 |
| Fax Number | 3096768455 |
| Sole Proprietor | N |
| Credentials | CNS |
NPI Number Detail
| NPI Number | 1558493155 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| 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 | 616033112 |
| Phone Number | 3096768123 |
| Fax Number | 3096768455 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Nurse Specialist |
|---|---|
| Taxonomy | 364S00000X |
| Licence No | 209006212 |
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Definition: A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of th |
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What is the unique identification code assigned to Judith A Dansizen by the Centers for Medicare & Medicaid Services?
The Judith A Dansizen has been issued the NPI (National Provider Identifier) 1558493155. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Judith A Dansizen?
The Judith A Dansizen is physically situated at 420 Ne Glen Oak Ave Ste 401, in the city of Peoria, state of IL, with the postal code 616033112.
What is Judith A Dansizen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Judith A Dansizen is Clinical Nurse Specialist, and the taxonomy code that categorizes this field of expertise is 364S00000X.
On what date did the Judith A Dansizen receive its 1558493155 assignment from the Centers for Medicare & Medicaid Services?
The Judith A Dansizen was assigned its 1558493155 by the Centers for Medicare & Medicaid Services on 2007-03-09.
When was the Judith A Dansizen's information last updated?
The Judith A Dansizen's information was last updated on 2021-11-15.
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