Tamarra Lynn Subyantoro

APN | Nurse Practitioner - Family | 5+ years Exp

Accepts Medicare Family Nurse Practitioner in Peoria, Illinois.
Tamarra Lynn Subyantoro is a Peoria, Illinois based nurse practitioner with 5 years of experience in Family. She completed her graduation in 2019. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Tamarra Lynn Subyantoro is 209019900 for Family in Illinois. Her current practice location is 5114 N Glen Park Place Rd Ste 110, Peoria. Patients can reach her at 309-683-5600 or can fax her at 309-683-5607. Tamarra Lynn Subyantoro is APN with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1942842018.
Tamarra Lynn Subyantoro delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.

Complete Profile:
Tamarra Lynn Subyantoro speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Tamarra Lynn Subyantoro
Specialization: Family Nurse Practitioner (FNP)
Gender:Female
Credentials: APN
Experience: 5+ years
Medical School Attended:Other
Graduation Year:2019
Accepts Medicare Assignment:Yes
Practice Address:5114 N Glen Park Place Rd Ste 110, Peoria,
Illinois, 61614-4686
Phone:309-683-5600
Fax:309-683-5607
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 4385076397
Enrollment ID: I20191113001192
NPI Number: 1942842018
NPI Enumeration Date: 10 Oct, 2019
NPI Last Update On: 27 Sep, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tamarra Lynn Subyantoro are as mentioned below.
License NumberSpecializationStateStatus
209019900Family IllinoisPrimary
209019900Nurse Practitioner IllinoisSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(140067)Peoria, ILAcute Care Hospital
(140162)Bloomington, ILAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Tamarra Lynn Subyantoro is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Osf Multi-specialty Group (3678889789)1494
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Tamarra Lynn Subyantoro
5114 N Glen Park Place Rd Ste 110,
Peoria, Illinois
Zip: 61614-4686
Phone Number: 309-683-5600
Fax Number: 309-683-5607
Patients can reach Tamarra Lynn Subyantoro at 5114 N Glen Park Place Rd Ste 110, Peoria, Illinois or can call to book an appointment on 309-683-5600.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.