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

GINA VON DER VELLEN, APRN, CPNP

Active Sole Proprietor

GINA VON DER VELLEN, APRN, CPNP is a Pediatric Nurse Practitioner healthcare provider located in PEORIA, Illinois. NPI 1578258877 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · PEORIA, IL

Registration Details

NPI Number
1578258877
Provider Type
Individual
Gender
Female
NPI Issued
Apr 11, 2023 (3.3672788622891 yrs)
Last Updated
Oct 17, 2024
Licenses
041566358 (IL)
RN.451803 (OH)
209029829 (IL)
Sole Proprietor
Yes

Practice Information

Address
530 NE GLEN OAK AVE
PEORIA, IL, 616372639
Browse IL providers · Browse ZIP 61637
Phone
3096249688
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in PEORIA, IL

Name Credential NPI
BARBARA L JOHNSTON NP APN RN MS 1184696544
KATHRYN GENSEL NP 1699740902
MELINDA HENDERSON C-FNP 1679516561
PAMELA DOLOSZYCKI APN 1861563397
KRISTIN A KANG PNP 1174772552
DIANA WARNECKE APN, CPNP 1396183687
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.