Individual provider · Type 1 NPI

Katherine Lyn Dorwaldt

Psychiatric/Mental Health Nurse Practitioner · Freeport, IL

NPI number 1386100295 Active

Practice location

133 N Sunset Ave
Freeport, IL 61032-3752

Call (815) 347-0884 Map

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3877

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041467898 (IL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209.026811 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1386100295

Katherine Lyn Dorwaldt's National Provider Identifier is 1386100295, issued on Feb 15, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Freeport, IL. The record was last updated on Mar 21, 2023.