Nurse Practitioner (Family)
Bloomington, IL
Specialty
Nurse Practitioner (Family)
Credential
APN
NPI
1760909626
1505 Eastland Dr., Bloomington, IL 61701
(309) 661-5004Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in nurse practitioner (family) procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LF0000X