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Bethani Christianson
Family Nurse Practitioner in Normal, Illinois
NPI 1003278581

Bethani Christianson is a Family Nurse Practitioner based in Normal, IL and is specialized in Family. Bethani Christianson practices in Normal, IL. The NPI Number for Bethani Christianson is 1003278581 and holds a License No. 209014126 (Illinois).

The current practice location address for Bethani Christianson is 2200 Fort Jesse Rd Ste 110, Normal, IL and can be reached out via phone at 309-661-6290.

Location: 2200 Fort Jesse Rd Ste 110, Normal, IL, 61761-6286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003278581
Provider Name
Bethani Christianson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2200 Fort Jesse Rd Ste 110, Normal, IL, 61761-6286
Phone Number
309-661-6290
Fax Number
Provider Enumeration Date
03/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2200 Fort Jesse Rd Ste 110
City
Normal
State
Illinois
Zip
61761-6286
Phone Number
309-661-6290
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Fort Jesse Rd Ste 110
City
Normal
State
Illinois
Zip
61761-6286
Phone Number
309-661-6290
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209014126 (Illinois)
Definition
Definition to come...
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