Individual provider · Type 1 NPI

Phyllis Joan Coulter, FNP

Family Nurse Practitioner · Bloomington, IL

NPI number 1972674026 Active

Practice location

318 W Washington St
Bloomington, IL 61701-3875

Call (309) 827-4014 Map

Mailing address

19451 Trade Wind Dr
Bloomington, IL 61704-5727

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1972674026

Phyllis Joan Coulter, FNP's National Provider Identifier is 1972674026, issued on Nov 12, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bloomington, IL. The record was last updated on Jul 9, 2007.