MRS. STEPHANIE ANN OBER APN NPI 1972041770

NPI Information

NPI: 1972041770
Provider Name: MRS. STEPHANIE ANN OBER, APN
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Individual

Specialization: Neonatal, Critical Care

PECOS Registration: Yes

Address:
530 NE GLEN OAK AVE
PEORIA, IL
ZIP 61637
Phone: (309) 624-0629
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MRS. Stephanie Ann Ober, APN is a neonatal and critical care nurse practitioner in Peoria, IL. MRS. Stephanie Ann Ober, APN NPI is 1972041770. 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:

530 NE GLEN OAK AVE
PEORIA, IL
ZIP 61637-001
Phone: (309) 624-0629

The NPI 1972041770 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 2/1/2017 and was last updated on 2/1/2017.

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	163WN0002X	Registered Nurse	Neonatal Intensive Care	041336474	ILLINOIS	No
2	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	209015551	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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