Provider Demographics
NPI:1114071842
Name:FEURER, MARGARET ANN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:FEURER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 N KICKAPOO ST
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61604-4206
Mailing Address - Country:US
Mailing Address - Phone:309-525-0478
Mailing Address - Fax:
Practice Address - Street 1:4424 US HIGHWAY 34
Practice Address - Street 2:
Practice Address - City:KEWANEE
Practice Address - State:IL
Practice Address - Zip Code:61443-8319
Practice Address - Country:US
Practice Address - Phone:309-852-0197
Practice Address - Fax:309-852-0595
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209000271363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP19518Medicare UPIN