Individual provider · Type 1 NPI

Mary E. Andris

Psychiatric/Mental Health Registered Nurse · Bloomington, IL

NPI number 1710074414 Active

Practice location

108 W Market
Bloomington, IL 61701

Call (309) 827-5351 Map

Fax (309) 829-6808

Mailing address

309 E Northtown Rd
Normal, IL 61761

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XNone listed

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

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About NPI 1710074414

Mary E. Andris's National Provider Identifier is 1710074414, issued on Oct 6, 2006. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Bloomington, IL. The record was last updated on Jul 8, 2007.