Individual provider · Type 1 NPI

Renae Callahan

Nurse Practitioner · Morton, IL

NPI number 1164016408 Active

Practice location

104 E Queenwood Rd Ste 202
Morton, IL 61550-2962

Mailing address

3820 Camden Cir
Chillicothe, IL 61523-9490

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209021136 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1164016408

Renae Callahan's National Provider Identifier is 1164016408, issued on Feb 26, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Morton, IL. The record was last updated on Feb 26, 2021.