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:
Health care specialties
Specialty | Code | License # | 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 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699761726 | NPPES |
Iowa | Other | 44812 | WELLMARK BCBS |
Iowa | MEDICAID | 0172700 | WELLMARK BCBS |
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