IndividualActive
Mary Neville, DNP, CPNP-AC
NPI 1104545482 · Critical Care Pediatric Nurse Practitioner · Peoria, IL
Provider details
- NPI number
- 1104545482
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, CPNP-AC
- Sex
- Female
- Sole proprietor
- No
- License
- 209.025804 (IL)
Mailing address
945 E 2150 North Rd
Danvers, IL 61732-9018
Registry dates
- Enumerated
- 2022-08-22
- Last updated
- 2022-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.