MRS. Deidra Diane Anderson, FNP
NPI #1083336234 in East Peoria, Illinois
Provider Information
- NPI Number
- 1083336234
- Entity Type
- Individual
- Name
- MRS. Deidra Diane Anderson, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Sep 14, 2022
- Last Updated
- Oct 26, 2022
Practice Location
- Address
- 133 SPINDER DR
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-0016
- Phone
- (309) 308-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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