Individual provider · Type 1 NPI

Stefanie Poettker

Nurse Practitioner · Centralia, IL

NPI number 1376417253 Active

Practice location

130 S Lincoln Blvd
Centralia, IL 62801-3654

Call (618) 993-0404 Map

Other practice locations

310 W Saint Louis St, West Frankfort, IL 62896-2037 · (618) 993-0404

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	209.033426 (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…

3 other providers at this address

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About NPI 1376417253

Stefanie Poettker's National Provider Identifier is 1376417253, issued on Oct 2, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Centralia, IL. The record was last updated on Sep 21, 2026.