Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward E Etherton, NP

Individual provider Nurse Practitioner · NPI 1053662783

Edward E Etherton, NP is a Nurse Practitioner in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1701 W Garden St
Peoria, IL 61605-3531
Phone: (309) 680-7600
Fax: (309) 680-7637
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209-009512 (IL)

Record details

NPI number1053662783
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 20, 2012
Last updated in NPPESNovember 18, 2013
Mailing address1701 W Garden St, Peoria, IL 61605-3531

Other providers in Peoria