Peach, Sandra L.
Peach, Sandra L. is an individual health care provider with primary practice located at 420 Ne Glen Oak Ave , Peoria IL 61603-3105. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Peach, Sandra L. can be contacted via phone (309) 655-2343.Contact Information
Primary practice address
420 Ne Glen Oak Ave
Peoria IL 61603-3105
Phone: (309) 655-2343
Fax: (309) 655-3948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209014408 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209.014408 | Illinois |
Profile Details
| NPI number | 1003268897 |
|---|---|
| LBN Legal business name | Peach, Sandra L. |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2016 |
| Last updated | Jul 21st, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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