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WATERLOO WOMEN'S HEALTH NPI 1841523776


NPI Information

NPI: 1841523776
Provider Name: WATERLOO WOMEN'S HEALTH
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

Address:
869 N. ILLINOIS RT 3
WATERLOO, IL
ZIP 62298
Phone: (618) 939-7771
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WATERLOO WOMEN'S HEALTH is a women's health nurse practitioner in Waterloo, IL. WATERLOO WOMEN'S HEALTH NPI is 1841523776. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

869 N. ILLINOIS RT 3
WATERLOO, IL
ZIP 62298
Phone: (618) 939-7771

The provider's authorized official is Marla R Smith .
The authorized official title is Apn and has the following contact phone number (618) 939-7771.

The enumeration date for this NPI number is 9/10/2009 and was last updated on 9/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's Health209007742ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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