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Contact Information

TAMMY ABBOTT HERUBIN, CRNA
8600 N STATE ROUTE 91
SUITE 250
PEORIA, IL61615-9541
 Phone: 309-692-5394
 Fax:
 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 TAMMY ABBOTT HERUBIN · (Female)

NPI Number 1184665796
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 06/08/2006
Last updated 03/19/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ARNP1837352
  • FL Medicaid 303366000
Hospital affiliation(s)
  • SAINT FRANCIS MEDICAL CENTER - (Acute Care)
    530 NE GLEN OAK AVE
    PEORIA, IL 61637
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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