IndividualActive
Emily Corona
NPI 1972242188 · Gerontology Nurse Practitioner · Peoria, IL
Provider details
- NPI number
- 1972242188
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 041422454 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1001 Main St Ste 200
Peoria, IL 61606-2035
Phone: (309) 672-5682
Approximate (ZIP-level) locationGet directions
Mailing address
1645 W Devereux Dr
Peoria, IL 61614-4066
Registry dates
- Enumerated
- 2022-06-04
- Last updated
- 2022-10-20
- Certified
- 2022-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.