Individual provider · Type 1 NPI

Mallory Iverson, APN

Nurse Practitioner · Wauconda, IL

NPI number 1366818692 Active

Practice location

431 W Liberty St
Wauconda, IL 60084-2452

Call (847) 526-2151 Map

Mailing address

PO Box 6037
Wauconda, IL 60084-6037

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209013043 (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 1366818692

Mallory Iverson, APN's National Provider Identifier is 1366818692, issued on Aug 20, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wauconda, IL. The record was last updated on Aug 20, 2015.