SearchIllinois367500000X

Jenny Shah, CRNA APN

NPI 1285802678 · on the registry since 2008 · sole proprietor

Practice

Address
802 W Trailcreek Dr
Cosmetic Surgery Care
Peoria, IL 61614
Phone
(309) 692-3630
Fax
(309) 692-3790

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-02-19

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