Individual
MRS. BRENNA LOUISE SCHLUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4297
(217) 784-4697
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209009243
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370647938
MOLINA NUMBER
—
Enumeration date
11/14/2011
Last updated
02/27/2024
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