CHANELLE CHRISTINE MACLIN


Address: 504 E Kansas St, Peoria, IL 61603-2554
Phone: 9047298022

CHANELLE CHRISTINE MACLIN (NPI# 1457986929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457986929
Entity Type Individual
Full Name CHANELLE CHRISTINE MACLIN
Credential APN
Practice Address 504 E Kansas St
Peoria
IL 61603-2554
Practice Telephone 9047298022
Mailing Telephone 9047298022
Enumeration Date 2020-03-05
Last Update Date 2020-03-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209020978 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 504 E KANSAS ST
City PEORIA
State IL
Zip Code 61603-2554

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881295541 Britney Julia Durst Nurse Practitioner 5905 N Prospect Rd, Peoria, IL 61614-4311 2020-11-07
1598362980 Courtney Klein Nurse Practitioner 1306 N. Berkley Ave, Peoria, IL 61603 2020-10-08
1699390039 Steven Joel Schlink Nurse Practitioner 12920 W Roy Rogers Rd, Peoria, AZ 85383-5334 2020-06-11
1225677495 Michelle Chacon Nurse Practitioner 23201 N 87th Dr, Peoria, AZ 85383-1860 2020-01-05
1689218042 Patricia Nwakaego Ayemoba Nurse Practitioner 16018 N 74th Dr, Peoria, AZ 85382-1810 2019-10-29
1144877267 Eunice Wright Nurse Practitioner 26826 N 85th Dr, Peoria, AZ 85383-3624 2019-08-22
1861057507 Shawnee Renee Fudurich Nurse Practitioner 10230 W Happy Valley Pkwy Ste 100, Peoria, AZ 85383-4255 2019-05-08
1265096895 Razel Espiritu Hernandez Nurse Practitioner 25435 N 115th Ave, Peoria, AZ 85383-9789 2019-04-29
1619435310 Jennifer Gayle Ries-clark Nurse Practitioner 8009 W Salter Dr, Peoria, AZ 85382-4440 2019-03-12
1679038749 Darnell L Keys Nurse Practitioner 12799 W Lowden Rd, Peoria, AZ 85383-7805 2019-02-04
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Competitor

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City PEORIA
Zip Code 61603

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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