MILDRED ELAINE SHAFER

PEORIA, IL
NPI1215265327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: IL  209000900)
Enumeration Date2009-12-01
Last Update Date2009-12-01
Business Address
Ms. MILDRED ELAINE SHAFER APN
530 NE GLEN OAK AVE
PEORIA, IL 61637-0002
Phone number: 309-683-6740
Mailing Address
Ms. MILDRED ELAINE SHAFER APN
7918 W THORNRIDGE DR
MAPLETON, IL 61547-9347
Phone number: 309-683-6740
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