Search › Illinois › Nurse Practitioner
Edward Etherton, NP
NPI 1053662783 · on the registry since 2012
Practice
- Address
- 1701 W Garden St
Peoria, IL 61605 - Phone
- (309) 680-7600
- Fax
- (309) 680-7637
- Organisation at this address
- Heartland Community Health Clinic
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Nurse Practitioner
363L00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois