Individual provider · Type 1 NPI
Laurel Ann Dettore, DNSC, MS, RN
Community Health Nurse Practitioner · Berwyn, IL
NPI number
1689929879
Active
Practice location
6827 Stanley Ave
Berwyn, IL 60402-3287
Fax (708) 795-1543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Nurse Practitioner Primary | 363LC1500X | 214132 (IL) |
Community Health Nurse Practitioner: Definition to come...
5 other providers at this address
- Allen C Bernthal M D LtdSpecialist Berwyn, IL NPI 1366763534
- Gi and Liver Specialists, LtdSpecialist Berwyn, IL NPI 1750436051
- Midwest Nephrology Associates, LLCSpecialist Berwyn, IL NPI 1548315849
- Allen C. Bernthal, MDGastroenterology Physician Berwyn, IL NPI 1710967989
- Laurens A. Lohmann, MDNephrology Physician Berwyn, IL NPI 1346220514
About NPI 1689929879
Laurel Ann Dettore, DNSC, MS, RN's National Provider Identifier is 1689929879, issued on Jul 13, 2012. The primary taxonomy on file is Community Health Nurse Practitioner (363LC1500X), and the practice location is in Berwyn, IL. The record was last updated on Jul 13, 2012.