Individual
KATELYN J STITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, NP-C
Contact information
Practice address
106 S 1ST ST, FAIRBURY, IL 61739-1509
(815) 692-2308
Mailing address
106 S 1ST ST, FAIRBURY, IL 61739-1509
(815) 692-2308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.018597
IL
Other
Enumeration date
01/05/2019
Last updated
01/05/2019
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