NPI 1073490652

Lauren Heidenreich

Practitioner Advanced Practice Midwife Bloomington, IL

Practice location

Address: 2111 E Oakland Ave STE B, Bloomington, IL 61701-5783
Phone: (309) 808-3068
Mailing address: 9669 N 1600 East Rd, Bloomington, IL 61705-5503

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 209032987 (IL)

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Registry record

NPI: 1073490652
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2025
Record last updated: 26 Sep 2025

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.