AMBER LEE-ANN KOTH

PEORIA, IL
NPI1508388372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  277001734)
Enumeration Date2017-07-12
Last Update Date2024-11-29
Business Address
AMBER LEE-ANN KOTH FNP-C
221 NE GLEN OAK AVE
PEORIA, IL 61636-4416
Phone number: 309-672-5500
Mailing Address
AMBER LEE-ANN KOTH FNP-C
221 NE GLEN OAK AVE
PEORIA, IL 61636-4416
Phone number: 309-672-5500