person
Trisha Wierenga, BSN,RN,IBCLC,RLC
Family Nurse Practitioner in Bloomington, Illinois
NPI 1932510203

Trisha Wierenga is a Family Nurse Practitioner based in Eureka, IL and is specialized in Family. Trisha Wierenga practices in Bloomington, IL and has the professional credentials of BSN,RN,IBCLC,RLC. The NPI Number for Trisha Wierenga is 1932510203 and holds a License No. L-35463 (Illinois).

The current practice location address for Trisha Wierenga is 6 Westport Ct, Bloomington, IL and can be reached out via phone at 309-722-4020 and via fax at 309-740-4440. You can also correspond with Trisha Wierenga through the mailing address at 2016 MARSHALL RD, EUREKA, IL - 61530-1627 (mailing address contact number: 309-370-4025).

Location: 6 Westport Ct, Bloomington, IL, 61530-1627
person
Provider Profile Details
NPI Number
1932510203
Provider Name
Trisha Wierenga
Credential
BSN,RN,IBCLC,RLC
Provider Entity Type
Individual
Gender
Female
Address
6 Westport Ct, Bloomington, IL, 61530-1627
Phone Number
309-722-4020
Fax Number
309-740-4440
Provider Enumeration Date
05/08/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209023427 01 IL FAMILY NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
6 Westport Ct
City
State
Zip
61704-8233
Phone Number
309-722-4020
Fax Number
309-740-4440
person
Provider Business Mailing Address Details
Address
2016 Marshall Rd
City
State
Zip
61530-1627
Phone Number
309-370-4025
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Lactation Consultant
Taxonomy
License No.
209023427 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
L-35463 (Illinois)
Definition
Definition to come...
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