Organization · Type 2 NPI
Van Byssum Associates, PC
Psychiatric/Mental Health Nurse Practitioner · Glen Ellyn, IL
NPI number
1497949762
Active
Practice location
174 S Montclair Ave
Glen Ellyn, IL 60137-6357
Fax (630) 858-0650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | 071004744 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.010527041.189584 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Glen Ellyn
About NPI 1497949762
Van Byssum Associates, PC's National Provider Identifier is 1497949762, issued on Aug 30, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glen Ellyn, IL. The record was last updated on Mar 14, 2017.