Whalio Doctors

NPI 1073917258

Marissa Christine Myres, APRNCNS

Practitioner Gerontology Clinical Nurse Specialist Peoria, IL

Practice location

Address
3308 W Chartwell Rd, Peoria, IL 61614-2322
Phone
(309) 691-7640
Fax
(309) 691-7643

Registered specialties (3)

Gerontology Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SG0600X Licence 209012031 (IL)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 041.385496 (IL)
Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence 209.012031 (IL)

Registry record

NPI
1073917258
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Oct 2014
Record last updated
3 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.