Individual provider · Type 1 NPI
Kathryn Tite
Primary Care Nurse Practitioner · Danville, IL
NPI number
1093423832
Active
Practice location
108 Robinson St
Danville, IL 61832-8515
Mailing address
101 W University Ave
Champaign, IL 61820-3981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209027101 (IL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1093423832
Kathryn Tite's National Provider Identifier is 1093423832, issued on Nov 10, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Danville, IL. The record was last updated on May 10, 2023.