SANDY NORTHCUTT

Nurse Practitioner - Family

Active Individual
NPI: 1174209704

Practice Address

124 SW ADAMS ST
Peoria, IL 61602

Phone: (888) 209-3761

Specialties

Specialty Code Primary License
Registered Nurse - Medical-Surgical 163WM0705X No 041.310284 (IL)
Nurse Practitioner - Family 363LF0000X Yes 209.028107 (IL)

Frequently Asked Questions

NPI 1174209704 is the National Provider Identifier for SANDY NORTHCUTT, a Nurse Practitioner - Family provider located in Peoria, IL. This NPI was enumerated on June 27, 2023.
SANDY NORTHCUTT practices at 124 SW ADAMS ST, Peoria, IL 61602.

Quick Facts

NPI
1174209704
Type
Individual
Enumerated
Jun 27, 2023
Last Updated
Sep 22, 2023

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