Individual
KATHERINE L SARSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCPNP-C
Contact information
Practice address
751 N RUTLEDGE ST STE 1700, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 545-8163
Mailing address
1932 S WALNUT ST, SPRINGFIELD, IL 62704-4050
(217) 545-8000
(217) 545-8163
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209-016032
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209-016032
IL
363LP2300X
Primary Care Nurse Practitioner
209-016032
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-016032
STATE LICENSE
IL
Enumeration date
10/02/2017
Last updated
09/11/2020
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