Individual provider · Type 1 NPI

Kimberly Shrode

Nurse Practitioner · Bloomington, IL

NPI number 1902349202 Active

Practice location

1405 Eastland Dr
Bloomington, IL 61701-3514

Fax (309) 661-6226

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209014464 (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 1902349202

Kimberly Shrode's National Provider Identifier is 1902349202, issued on Nov 18, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bloomington, IL. The record was last updated on Nov 18, 2016.