Suzan Shane-Gray, APN, EDD

Individual Active
NPI 1144525452
Pediatric Clinical Nurse Specialist Peoria, IL

NPI 1144525452 belongs to Suzan Shane-Gray, APN, EDD, a pediatric clinical nurse specialist with a practice location in Peoria, IL. The NPI was issued on January 18, 2011, and the record was last updated in NPPES on January 18, 2011.

This record hasn't been updated in NPPES since 2011. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Clinical Nurse Specialist Primary 364SP0200X 209.008562 (IL)

Practice location

530 NE Glen Oak Ave
Pob 113
Peoria, IL 61637-0001
Phone: (309) 224-8683

Local context

Active NPPES records list 7 providers with pediatric clinical nurse specialist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 30 in Illinois and 385 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Suzan Cathleen Shane-Gray
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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