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Kathy A Willenborg, RN,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Anna, Illinois
NPI 1760770085

Kathy A Willenborg is a Psychiatric/Mental Health Nurse Practitioner based in Anna, IL and is specialized in Psychiatric/Mental Health. Kathy A Willenborg practices in Anna, IL and has the professional credentials of RN,PMHNP-BC. The NPI Number for Kathy A Willenborg is 1760770085 and holds a License No. 209016361 (Illinois).

The current practice location address for Kathy A Willenborg is 1000 N Main St, Anna, IL and can be reached out via phone at 618-202-6441.

Location: 1000 N Main St, Anna, IL, 62906-1652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760770085
Provider Name
Kathy A Willenborg
Credential
RN,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1000 N Main St, Anna, IL, 62906-1652
Phone Number
618-202-6441
Fax Number
Provider Enumeration Date
07/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 N Main St
City
Anna
State
Illinois
Zip
62906-1652
Phone Number
618-202-6441
Fax Number
person
Provider Business Mailing Address Details
Address
1000 N Main St
City
Anna
State
Illinois
Zip
62906-1652
Phone Number
618-202-6441
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
209016361 (Illinois)
Definition
Definition to come...
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