Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAMARRA LYNN SUBYANTORO, APN
ActiveTAMARRA LYNN SUBYANTORO, APN is a Family Nurse Practitioner healthcare provider located in PEORIA, Illinois. NPI 1942842018 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · PEORIA, IL
Registration Details
- NPI Number
- 1942842018
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2019 (6.8383175773176 yrs)
- Last Updated
- Sep 27, 2024
- Licenses
-
209019900 (IL)209019900 (IL)
Practice Information
- Address
-
5114 N GLEN PARK PLACE RD STE 110PEORIA, IL, 616144686Browse IL providers · Browse ZIP 61614
- Phone
- 3096835600
- Fax
- 3096835607
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Nurse Practitioner
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.