Provider Demographics
NPI:1609657980
Name:NP WOMEN'S HEALTH, PLLC
Entity Type:Organization
Organization Name:NP WOMEN'S HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:WHNP
Authorized Official - Phone:309-840-3008
Mailing Address - Street 1:10326 N JULIET CT STE A
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61615-1116
Mailing Address - Country:US
Mailing Address - Phone:309-570-1016
Mailing Address - Fax:309-570-1017
Practice Address - Street 1:10326 N JULIET CT STE A
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61615-1116
Practice Address - Country:US
Practice Address - Phone:309-570-1016
Practice Address - Fax:309-570-1017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Single Specialty