Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSHUA A LARSON, APRN, CNP
ActiveNurse Practitioner · EAST PEORIA, IL
Registration Details
- NPI Number
- 1093547937
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2024 (1.6925157880995 yrs)
- Last Updated
- Oct 23, 2024
- License
-
209030314 (IL)
Practice Information
- Address
-
133 SPINDER DR STE 4015EAST PEORIA, IL, 616110016Browse IL providers · Browse ZIP 61611
- Phone
- 3093085100
- Fax
- 3093085102
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in EAST PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| ADEBIMPE FAVOUR EREBHOLO | NP | 1982214144 |
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.