Individual provider · Type 1 NPI
Clarisa Medina Poeliniz, APN
Pediatric Nurse Practitioner · Rochelle, IL
NPI number
1285862748
Active
Practice location
903 S 7th St Ste C
Rochelle, IL 61068-9375
Fax (815) 562-9786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041.317970 (IL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209.007592 (IL) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1285862748
Clarisa Medina Poeliniz, APN's National Provider Identifier is 1285862748, issued on Jun 23, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rochelle, IL. The record was last updated on Jan 28, 2013.