Willemsen-Dunlap, Ann M

Willemsen-Dunlap, Ann M is an individual health care provider with primary practice located at 8600 State Route 91 Ste 250 , Peoria IL 61615-7831. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Willemsen-Dunlap, Ann M can be contacted via phone (309) 692-5394.

Contact Information

Primary practice address
8600 State Route 91 Ste 250 Peoria IL 61615-7831
Phone: (309) 692-5394
Fax: (309) 692-2538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X D079522 Iowa

Profile Details

NPI number 1699761726
LBN Legal business name Willemsen-Dunlap, Ann M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated May 30th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699761726 NPPES
Iowa Other 44812 WELLMARK BCBS
Iowa MEDICAID 0172700 WELLMARK BCBS

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