ETHAN SPERRY

Nurse Practitioner - Family

Active Individual
NPI: 1861371635

Practice Address

530 NE GLEN OAK AVE
Peoria, IL 61637

Phone: (309) 655-2000

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 209-033064 (IL)

Frequently Asked Questions

NPI 1861371635 is the National Provider Identifier for ETHAN SPERRY, a Nurse Practitioner - Family provider located in Peoria, IL. This NPI was enumerated on August 27, 2025.
ETHAN SPERRY practices at 530 NE GLEN OAK AVE, Peoria, IL 61637.

Quick Facts

NPI
1861371635
Type
Individual
Enumerated
Aug 27, 2025
Last Updated
Aug 27, 2025

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