MRS. REBECCA A TODD FNP-C NPI 1306899182

NPI Information

MRS. Rebecca A Todd, FNP-C is a family nurse practitioner in Peoria, IL. MRS. Rebecca A Todd, FNP-C NPI is 1306899182. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

515 NE GLEN OAK AVENUE
SUITE 202
PEORIA, IL
ZIP 61603
Phone: (309) 674-2002
Fax: (309) 674-0774

The NPI 1306899182 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 8/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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