Individual
KATHERINE COLLINS-WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
550 LANDMARKS BLVD, ALTON, IL 62002-6321
(618) 463-5905
(618) 463-5935
Mailing address
550 LANDMARKS BLVD, ALTON, IL 62002-6321
(618) 463-5905
(618) 463-5935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041287817
IL
163W00000X
Registered Nurse
067298
MO
363L00000X
Nurse Practitioner
067298
MO
363L00000X
Nurse Practitioner
209002894
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
067298
MO
363LA2200X
Adult Health Nurse Practitioner
209002894
IL
363LW0102X
Women's Health Nurse Practitioner
209002894
IL
Other
Enumeration date
12/28/2006
Last updated
05/15/2018
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