Individual provider · Type 1 NPI

Mary Krall

Nurse Practitioner · Pontiac, IL

NPI number 1275626525 Active

Practice location

2500 W Reynolds St
Pontiac, IL 61764-9774

Fax (815) 844-6309

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X041127668/209001388 (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 1275626525

Mary Krall's National Provider Identifier is 1275626525, issued on Oct 1, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pontiac, IL. The record was last updated on Jul 8, 2007.