TARA MARIE EVANS

PEORIA, IL
NPI1518645613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LX0106X Nurse Practitioner, Occupational Health
(Licence: IL  209.027825)
Additional Taxonomies163WX0800X Registered Nurse, Orthopedic
(Licence: IL  041416169)
Enumeration Date2023-07-10
Last Update Date2023-07-10
Business Address
TARA MARIE EVANS
736 SW WASHINGTON ST STE 2A
PEORIA, IL 61602-1643
Phone number: 309-497-0300
Mailing Address
TARA MARIE EVANS
736 SW WASHINGTON ST STE 2A
PEORIA, IL 61602-1643
Phone number: 309-497-0300