SUSI MADRIGAL-LEON FNP-C NPI 1346902459

NPI Information

NPI: 1346902459
Provider Name: SUSI MADRIGAL-LEON, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
736 SW WASHINGTON ST
SUITE 2A
PEORIA, IL
ZIP 61613
Phone: (309) 497-0300
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Susi Madrigal-leon, FNP-C is a family nurse practitioner in Peoria, IL. Susi Madrigal-leon, FNP-C NPI is 1346902459. 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:

736 SW WASHINGTON ST
SUITE 2A
PEORIA, IL
ZIP 61613-643
Phone: (309) 497-0300

The NPI 1346902459 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 10/6/2021 and was last updated on 10/26/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209.022696	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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