Individual provider · Type 1 NPI
Wayland J. Mutter, RN
Nurse Practitioner · Quincy, IL
Practice location
1005 Broadway St
Quincy, IL 62301-2834
Fax (217) 277-8988
Mailing address
1025 Maine St
Quincy, IL 62301-4038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 041326848 (IL) |
| Acute Care Nurse Practitioner | 363LA2100X | 209017279 (IL) |
| Nurse Practitioner Primary | 363L00000X | 209017279 (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 1447769724
Wayland J. Mutter, RN's National Provider Identifier is 1447769724, issued on Sep 29, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Quincy, IL. The record was last updated on Oct 27, 2026.