NPI 1003211012

Theresa Kauth

Practitioner Family Nurse Practitioner Bloomington, IL

Practice location

Address: 108 W Market St, Bloomington, IL 61701-3918
Phone: (309) 827-5351
Fax: (309) 829-6808

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 209.011910 (IL)

Other Nurse Practitioner providers in Illinois →

Registry record

NPI: 1003211012
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Nov 2014
Record last updated: 6 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.