SHANNON MARIE ROBERTS

PEORIA, IL
NPI1215533245
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209021936)
Enumeration Date2020-12-06
Last Update Date2020-12-07
Business Address
Mrs. SHANNON MARIE ROBERTS APRN
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
Mailing Address
Mrs. SHANNON MARIE ROBERTS APRN
10203 W GUINIVERE DR
MAPLETON, IL 61547-9586
Phone number: 309-241-7178