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MS. MILDRED ELAINE SHAFER APN
NPI 1215265327
Nurse Practitioner - Neonatal, Critical Care in Peoria, IL

Active since December 01, 2009
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 683-6740(309) 683-6746 Get Directions Write a Review

NPPES record last updated: December 1, 2009. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ms. Mildred Elaine Shafer Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MILDRED ELAINE SHAFER APN (NPI 1215265327) is an individual neonatal, critical care provider in Peoria, Illinois, licensed in Illinois (209000900) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1215265327
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameMS. MILDRED ELAINE SHAFERCredential: APN
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0002
Mailing Address7918 W Thornridge DrMapleton, IL 61547-9347 · (309) 683-6740 · Fax (309) 683-6746
Phone(309) 683-6740
Fax(309) 683-6746
Sole ProprietorYes
Enumeration DateDecember 1, 2009
✔ NPI 1215265327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in IL · 209000900
530 NE GLEN OAK AVE, Peoria, IL 61637
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mildred Shafer's NPI number?

The NPI number for Mildred Shafer is 1215265327. It was assigned to this individual provider in the NPPES registry on December 1, 2009.

Where is Mildred Shafer located?

Mildred Shafer practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 683-6740.

What is Mildred Shafer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

When was this NPI record last updated?

The NPPES record for Mildred Shafer was last updated on December 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.