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Kathryn M Endress, NP
Family Nurse Practitioner in Peoria, Illinois
NPI 1487054425

Kathryn M Endress is a Family Nurse Practitioner based in Peoria, IL and is specialized in Family. Kathryn M Endress practices in Peoria, IL and has the professional credentials of NP. The NPI Number for Kathryn M Endress is 1487054425 and holds a License No. 209-011751 (Illinois).

The current practice location address for Kathryn M Endress is 1701 W Garden St, Peoria, IL and can be reached out via phone at 309-680-7600 and via fax at 309-680-7686.

Location: 1701 W Garden St, Peoria, IL, 61605-3531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487054425
Provider Name
Kathryn M Endress
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1701 W Garden St, Peoria, IL, 61605-3531
Phone Number
309-680-7600
Fax Number
309-680-7686
Provider Enumeration Date
08/27/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209-011751 01 IL IL LICENSE
309-007528 01 IL IL CONTROLLED SUBSTANCE LICENSE
institution
Provider Business Practice Location Address Details
Address
1701 W Garden St
City
Peoria
State
Illinois
Zip
61605-3531
Phone Number
309-680-7600
Fax Number
309-680-7686
person
Provider Business Mailing Address Details
Address
1701 W Garden St
City
Peoria
State
Illinois
Zip
61605-3531
Phone Number
309-680-7600
Fax Number
309-680-7686
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
F06141327 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209-011751 (Illinois)
Definition
Definition to come...
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