MRS. DEBRA LYNN TOSTOVARSNIK (NPI# 1568633493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568633493 |
Entity Type | Individual |
Full Name | MRS. DEBRA LYNN TOSTOVARSNIK |
Credential | APN |
Practice Address |
925 West St Peru IL 61354-2757 |
Practice Telephone | 8157803202 |
Mailing Telephone | 8157803202 |
Enumeration Date | 2008-03-19 |
Last Update Date | 2008-03-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
925 WEST ST |
City | PERU |
State | IL |
Zip Code | 61354-2757 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902800535 | Illinois Valley Community Hospital | Durable Medical Equipment & Medical Supplies | 925 West St, Peru, IL 61354-2757 | 2005-06-10 |
1003437799 | Alison Jeanne Wojack | Nurse Anesthetist, Certified Registered | 925 West St, Peru, IL 61354-2757 | 2020-05-04 |
1619435252 | Amy Lynn Smith | Nurse Practitioner | 925 West St, Peru, IL 61354-2757 | 2019-03-02 |
1710450275 | Miranda Reinhardt | Dietitian, Registered | 925 West St, Peru, IL 61354-2757 | 2019-01-08 |
1932675113 | Michelle Serpico | Nurse Practitioner | 925 West St, Peru, IL 61354-2757 | 2018-10-16 |
1548735988 | Angela M. Longeville | Nurse Practitioner | 925 West St, Peru, IL 61354-2757 | 2018-10-12 |
1285127563 | Alyssa Christine Salz | Dietitian, Registered | 925 West St, Peru, IL 61354-2757 | 2018-06-11 |
1619469608 | Maureen Rebholz | Registered Nurse | 925 West St, Peru, IL 61354-2757 | 2018-06-05 |
1568953537 | Deborah Redd | Registered Nurse | 925 West St, Peru, IL 61354-2757 | 2018-05-24 |
1629589684 | Jon Gestl | Nurse Anesthetist, Certified Registered | 925 West St, Peru, IL 61354-2757 | 2017-10-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
Find all providers in zip 61354 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609481175 | Veronica Spangler | Nurse Practitioner | 1910 Plum St, Peru, IL 61354-1851 | 2020-09-11 |
1588153746 | Casey Lynn Hill | Nurse Practitioner | 661 E Main St Ste B, Peru, IN 46970-2662 | 2018-05-03 |
1831443977 | Denise Marie Brehmer | Nurse Practitioner | 315 W Old Key Dr Ste 150, Peru, IN 46970-9001 | 2012-10-26 |
1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
1538314356 | Katina A Everding | Nurse Practitioner | 2484 S Business 31, Suite C, Peru, IN 46970-7312 | 2008-11-20 |
1518136001 | Adirondack Medical Practice LLC | Nurse Practitioner | 3384 Rt 22, Peru, NY 12972 | 2008-02-28 |
1982751830 | Sandra Marie Harris | Nurse Practitioner | 9 Elm Street, Peru, NY 12972 | 2007-01-04 |
1063411072 | Rhoda L Wicker | Nurse Practitioner | 275 W 12th St, Suite 103, Peru, IN 46970-1638 | 2005-07-20 |
1124625926 | Jay Lee Hoeksema | Nurse Practitioner | 661 E Main St, Peru, IN 46970-2662 | 2020-10-05 |
1376183467 | Michelle R Lehn | Nurse Practitioner | 1650 Midtown Rd, Peru, IL 61354-1200 | 2020-01-07 |
Find all providers in PERU |
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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.