Alyssa Williams Blake
Alyssa Williams Blake is an Acute Care Nurse Practitioner in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2023.
- Licensed in
- IL
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
3626 N Sheridan RdPeoria, IL 61604-1401
Phone: (309) 308-5100
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Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 209030189 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1740063148 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 17, 2023 |
| Last updated in NPPES | October 30, 2024 |
| Certification date | October 30, 2024 |
| Mailing address | 3626 N Sheridan Rd, Peoria, IL 61604-1401 |
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-
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