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

ETHAN SPERRY

Active

ETHAN SPERRY is a Family Nurse Practitioner healthcare provider located in PEORIA, Illinois. NPI 1861371635 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · PEORIA, IL

Registration Details

NPI Number
1861371635
Provider Type
Individual
Gender
Male
NPI Issued
Aug 27, 2025 (0.94763379935128 yrs)
Last Updated
Aug 27, 2025
License
209-033064 (IL)

Practice Information

Address
530 NE GLEN OAK AVE
PEORIA, IL, 616370001
Browse IL providers · Browse ZIP 61637
Phone
3096552000
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.