Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATASHA VICTORIA RODRIGUEZ MANCEBO, PA-C
ActiveNATASHA VICTORIA RODRIGUEZ MANCEBO, PA-C is a Physician Assistant healthcare provider located in PEORIA, Illinois. NPI 1588201115 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PEORIA, IL
Registration Details
- NPI Number
- 1588201115
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2019 (6.6916748196809 yrs)
- Last Updated
- Dec 2, 2019
- License
-
085007443 (IL)
Practice Information
- Address
-
711 W JOHN GWYNN AVEPEORIA, IL, 616052270Browse IL providers · Browse ZIP 61605
- Phone
- 3096807600
- Fax
- 3096712188
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN SNOW | PA-C | 1275533317 |
| SHARON AYCOCK | PA-C | 1104813997 |
| LISA K NIELSEN | PA-C | 1982688669 |
| CONSTANCE M FREIDINGER | PA-C | 1487639118 |
| MR. KIM KEITH WIESE | PA-C | 1801866744 |
| MR. RANDALL LANE WILCOXEN | PAC | 1851363022 |
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.