Edward E Etherton, NP

NPI #1053662783 in Peoria, Illinois

Provider Information

NPI Number
1053662783
Entity Type
Individual
Name
Edward E Etherton, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Sep 20, 2012
Last Updated
Nov 18, 2013

Practice Location

Address
1701 W GARDEN ST
City
Peoria
ZIP Code
61605-3531
Phone
(309) 680-7600

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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