IndividualActive
Alyssa Williams Blake
NPI 1740063148 · Acute Care Nurse Practitioner · Peoria, IL
Provider details
- NPI number
- 1740063148
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209030189 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
3626 N Sheridan Rd
Peoria, IL 61604-1401
Phone: (309) 308-5100
Approximate (ZIP-level) locationGet directions
Mailing address
3626 N Sheridan Rd
Peoria, IL 61604-1401
Registry dates
- Enumerated
- 2023-08-17
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.