Individual provider · Type 1 NPI
Kathleen Ann Ulivi, FNP-BC
Family Nurse Practitioner · Gardner, IL
NPI number
1619219110
Active
Practice location
409 N US Route 53
Gardner, IL 60424
Fax (815) 237-0514
Mailing address
1570 Periwinkle Dr
Morris, IL 60450-6840
Other practice locations
- 150 W High St, Morris, IL 60450-1463 · (815) 942-2932
- 101 S Prairie Ave, Dwight, IL 60420-1350 · (815) 584-3291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.010293 (IL) |
Family Nurse Practitioner: Definition to come...
About NPI 1619219110
Kathleen Ann Ulivi, FNP-BC's National Provider Identifier is 1619219110, issued on Mar 22, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gardner, IL. The record was last updated on Mar 30, 2018.