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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BETHANY WALLS

Active Sole Proprietor

BETHANY WALLS is a Family Nurse Practitioner healthcare provider located in PEORIA, Illinois. NPI 1063052231 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · PEORIA, IL

Registration Details

NPI Number
1063052231
Provider Type
Individual
Gender
Female
NPI Issued
Jan 15, 2020 (6.5959980403049 yrs)
Last Updated
Jul 30, 2025
License
APN0000026872 (TN)
Sole Proprietor
Yes

Practice Information

Address
1200 W LOUCKS AVE
PEORIA, IL, 616042604
Browse IL providers · Browse ZIP 61604
Phone
3093067421
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in PEORIA, IL

Name Credential NPI
SHARON A. TEAR NP 1538138318
MRS. REBECCA A TODD FNP-C 1306899182
SUSANNAH NICHOLSON DINTZIS FNP 1902848153
REBECCA SWANSON C-FNP 1679515738
MRS. CYNTHIA L.M. SWIGART CFNP 1164465449
MICHELLE L BERTKE APN,CNP 1710922182
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.