Individual provider · Type 1 NPI

Mary Elizabeth Waterloo

Nurse Practitioner · Homewood, IL

NPI number 1720634827 Active

Practice location

17901 Governors Hwy Ste 206
Homewood, IL 60430-1146

Mailing address

2160 S 1st Ave
Maywood, IL 60153-3328

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209019819 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1720634827

Mary Elizabeth Waterloo's National Provider Identifier is 1720634827, issued on Aug 14, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Homewood, IL. The record was last updated on Nov 11, 2021.