IRENE P KASAMBIRA

PEORIA, IL
NPI1699700989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209008305)
Additional Taxonomies364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent
(Licence: IL  209002929)
Enumeration Date2006-07-12
Last Update Date2016-02-08
Business Address
-- IRENE P KASAMBIRA APN
228 NE JEFFERSON
PEORIA, IL 61603
Phone number: 309-571-8000
Mailing Address
-- IRENE P KASAMBIRA APN
PO BOX 1346
PEORIA, IL 61654-1346
Phone number: 309-671-8000