Organization · Type 2 NPI
Wisteria Health Services Ltd
Primary Care Nurse Practitioner · London Mills, IL
NPI number
1093448474
Active
Practice location
12860 E Lyons Rd
London Mills, IL 61544-9393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1093448474
Wisteria Health Services Ltd's National Provider Identifier is 1093448474, issued on Jul 5, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in London Mills, IL. The record was last updated on Jul 5, 2022.