Individual provider · Type 1 NPI
Lorri Jo Mostad, APN
Psychiatric/Mental Health Nurse Practitioner · Rockford, IL
NPI number
1427461540
Active
Practice location
1401 E State St
Rockford, IL 61104-2315
Fax (815) 967-5481
Mailing address
PO Box 1567
Rockford, IL 61110-0067
Other practice locations
- 325 Il Route 2, Dixon, IL 61021-9118 · (815) 284-6642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 121866 (MN) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 041419609 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209011678 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1427461540
Lorri Jo Mostad, APN's National Provider Identifier is 1427461540, issued on Jun 5, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rockford, IL. The record was last updated on Mar 17, 2018.