Individual
KATRENIA GIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
836 S 21ST AVE, MAYWOOD, IL 60153-1714
(708) 601-4535
Mailing address
836 S 21ST AVE, MAYWOOD, IL 60153-1714
(708) 601-4535
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209.015291
IL
363LG0600X
Gerontology Nurse Practitioner
209.015291
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209.015291
IL
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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