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

Mrs. Deidra Diane Anderson, FNP

Individual provider Family Nurse Practitioner · NPI 1083336234

Mrs. Deidra Diane Anderson, FNP is a Nurse Practitioner in East Peoria, Illinois. Qualified in 2022, 4 years ago. Practices with Graham Hospital Association, a 123-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

133 Spinder Dr
East Peoria, IL 61611-0016
Phone: (309) 308-5100
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209026249 (IL)

Record details

NPI number1083336234
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 14, 2022
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Graham Hospital Association — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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