SearchIllinois363LF0000X

Laura Fullerton, APN

NPI 1356406144 · on the registry since 2006

Practice

Address
2321 N Wisconsin Ave
Peoria, IL 61603
Phone
(309) 680-7600
Fax
(309) 681-4681
Organisation at this address
Genoa Healthcare Llc
Kroger Limited Partnership I
Heartland Community Health Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-07-25

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