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Contact Information

MELISSA TERHARK, C.R.N.A
8600 NORTH STATE ROUTE 91
SUITE #250
PEORIA, IL61615
 Phone: 309-692-5394
 Fax: 309-692-2538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for MELISSA TERHARK · (Female)

NPI # 1003919382
Status Active
Credentials C.R.N.A
Entity Individual
Enumeration date 09/05/2006
Last updated 11/03/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041253749
  • IL License # 209.005184
Hospital affiliation(s)
  • LOWER KEYS MEDICAL CENTER - (Acute Care)
    5900 COLLEGE ROAD
    KEY WEST, FL 33040
  • METHODIST MEDICAL CENTER OF ILLINOIS - (Acute Care)
    221 N E GLEN OAK AVE
    PEORIA, IL 61636
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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