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Edward E Etherton, NP

Nurse Practitioner in Peoria, IL · enumerated 2012 · practices at Heartland Community Health Clinic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053662783

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Registry record

Entity type Individual (Type 1)
Name Edward E Etherton
Credential NP
Sex Male
Practice address 1701 W Garden St, Peoria, IL, 61605
Phone (309) 680-7600
Fax (309) 680-7637
Enumeration date Sep 20, 2012
Last updated in NPPES Nov 18, 2013

Taxonomy & licenses

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 209-009512 (IL) Primary
NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Edward Etherton practice?
The practice location on file with NPPES is in Peoria, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Edward Etherton?
The National Provider Identifier (NPI) for Edward Etherton is 1053662783, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-18.