Individual provider · Type 1 NPI
Theresa Kauth
Family Nurse Practitioner · Bloomington, IL
NPI number
1003211012
Active
Practice location
108 W Market St
Bloomington, IL 61701-3918
Fax (309) 829-6808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.011910 (IL) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Bloomington
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About NPI 1003211012
Theresa Kauth's National Provider Identifier is 1003211012, issued on Nov 3, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bloomington, IL. The record was last updated on May 6, 2015.