Mrs. Andrea Celeste Blackwell
Mrs. Andrea Celeste Blackwell is a Nurse Practitioner in Peoria, Illinois. Qualified in 2020, 6 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 6
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
221 NE Glen Oak Ave Labor And DeliveryPeoria, IL 61636-0001
Phone: (309) 241-6898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 209023881 (IL) |
|---|
Record details
| NPI number | 1295472900 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 14, 2022 |
| Last updated in NPPES | May 14, 2022 |
| Certification date | May 14, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Osf Multi-Specialty Group — 2128 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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