Stickelmaier, Michelle Lynn

Stickelmaier, Michelle Lynn is an individual health care provider with primary practice located at 200 E Pennsylvania Ave , Peoria IL 61603-3089. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Stickelmaier, Michelle Lynn can be contacted via phone (309) 624-4000.

Contact Information

Primary practice address
200 E Pennsylvania Ave Peoria IL 61603-3089
Phone: (309) 624-4000
Fax: (309) 624-8522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 209.022202 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 209022202 Illinois

Profile Details

NPI number 1588251318
LBN Legal business name Stickelmaier, Michelle Lynn
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2020
Last updated Jun 27th, 2024 - about 2 years ago

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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