Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD E ETHERTON, NP
ActiveEDWARD E ETHERTON, NP is a Nurse Practitioner healthcare provider located in PEORIA, Illinois. NPI 1053662783 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · PEORIA, IL
Registration Details
- NPI Number
- 1053662783
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2012 (13.904413315304 yrs)
- Last Updated
- Nov 18, 2013
- License
-
209-009512 (IL)
Practice Information
- Address
-
1701 W GARDEN STPEORIA, IL, 616053531Browse IL providers · Browse ZIP 61605
- Phone
- 3096807600
- Fax
- 3096807637
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. DOREEN L LINK | NP | 1972502292 |
| JULIE A ALMS-DUBOIS | APN | 1497716823 |
| DONNA J BRENENSTALL | APN | 1407817422 |
| MARY L BRENNAN | NP | 1396789509 |
| PAMELA PECENKA | ANP | 1669418380 |
| ROBIN SCHERTZ | ANP | 1487690103 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.