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

Mary Neville, DNP, CPNP-AC

Individual provider Critical Care Pediatric Nurse Practitioner · NPI 1104545482

Mary Neville, DNP, CPNP-AC is a Critical Care Pediatric Nurse Practitioner in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 267-8760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Pediatric Nurse Practitioner (primary) Taxonomy 363LP0222X · Licence 209.025804 (IL)

Record details

NPI number1104545482
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , CPNP-AC
Sole proprietorNo
NPI enumeratedAugust 22, 2022
Last updated in NPPESAugust 22, 2022
Certification dateJuly 29, 2022

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