Search › Illinois › Nurse Practitioner
Bonita Dietrich
NPI 1386734689 · on the registry since 2006
Practice
- Address
- 2900 N Knoxville Ave
Peoria, IL 61603 - Phone
- (309) 688-3616
- Fax
- (309) 687-3370
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Nurse Practitioner
363L00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-08-05
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