Individual provider · Type 1 NPI

Daniel Thomas Foutch, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Champaign, IL

NPI number 1669149134 Active

Practice location

328 N Neil St Ste C
Champaign, IL 61820-3614

Fax (217) 492-8588

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209023867 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1669149134

Daniel Thomas Foutch, APRN, PMHNP-BC's National Provider Identifier is 1669149134, issued on Aug 24, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Champaign, IL. The record was last updated on Mar 21, 2025.