Amy Underwood Fallings

NPI #1942859681 in Peoria, Illinois

Provider Information

NPI Number: 1942859681
Entity Type: Individual
Name: Amy Underwood Fallings
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Sep 5, 2019
Last Updated: Sep 5, 2019

Practice Location

Address: 5405 N KNOXVILLE AVE
City: Peoria
State: Illinois
ZIP Code: 61614-5016
Phone: (309) 683-6710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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