Organization · Type 2 NPI
Home Town Healthcare & Urgent Care
Pediatric Nurse Practitioner · Orion, IL
NPI number
1457059412
Active
Practice location
410 11th Ave
Orion, IL 61273-7772
Mailing address
9377 E 600th St
Lynn Center, IL 61262-9789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1457059412
Home Town Healthcare & Urgent Care's National Provider Identifier is 1457059412, issued on Feb 20, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Orion, IL. The record was last updated on Feb 20, 2023.