Individual provider · Type 1 NPI

Laurie Ann Podeszwa, APRN

Family Nurse Practitioner · Rockford, IL

NPI number 1407990708 Active

Practice location

1401 E State St
Rockford, IL 61104-2315

Fax (815) 967-5312

Mailing address

PO Box 1567
Rockford, IL 61110-0067

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209004715 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1407990708

Laurie Ann Podeszwa, APRN's National Provider Identifier is 1407990708, issued on Feb 19, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockford, IL. The record was last updated on Mar 7, 2011.