Individual provider · Type 1 NPI
Tricia Renae Malott-Sturm, FNP-C
Family Nurse Practitioner · Marquette Heights, IL
NPI number
1063011674
Active
Practice location
104 Ottawa Ct
Marquette Heights, IL 61554-1401
Mailing address
100 N Main St
East Peoria, IL 61611-2533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.022095 (IL) |
Family Nurse Practitioner: Definition to come...
About NPI 1063011674
Tricia Renae Malott-Sturm, FNP-C's National Provider Identifier is 1063011674, issued on Oct 23, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Marquette Heights, IL. The record was last updated on May 26, 2026.