Individual provider · Type 1 NPI

Virginia Katherine House Hathcock, CRNP

Nurse Practitioner · Oswego, IL

NPI number 1497020234 Active

Practice location

4789 Route 71
Oswego, IL 60543-7415

Call (630) 692-5730 Map

Fax (630) 692-5731

Mailing address

611 W. Park St., Bwpc
Urbana, IL 61801-2500

Other practice locations

1701 Curtis Rd, Champaign, IL 61822-9678 · (217) 365-6203

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	1-121553 (AL)
Family Nurse Practitioner	363LF0000X	209.011936 (IL)
Nurse Practitioner Primary	363L00000X	209011936 (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 1497020234

Virginia Katherine House Hathcock, CRNP's National Provider Identifier is 1497020234, issued on Mar 13, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oswego, IL. The record was last updated on Feb 11, 2020.