Individual provider · Type 1 NPI
Millie Kooistra
Family Nurse Practitioner · Terre Haute, IN
NPI number
1295279958
Active
Practice location
1378 S State Road 46 Ste B
Terre Haute, IN 47803-9787
Fax (812) 877-3005
Mailing address
721 E Court St
Paris, IL 61944-2460
Other practice locations
- 727 E Court St, Paris, IL 61944-2460 · (217) 465-8411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 28174208A (IN) |
| Family Nurse Practitioner | 363LF0000X | 209034284 (IL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1295279958
Millie Kooistra's National Provider Identifier is 1295279958, issued on Dec 14, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Terre Haute, IN. The record was last updated on Sep 22, 2026.