Organization
LIVING WELL INTEGRATIVE CHRISTIAN WOMENS HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA T KLEIN WHNP-BC (SOLE MEMBER)
(815) 246-2208
Entity
Organization
Contact information
Practice address
2501 E COLLEGE AVE STE C, BLOOMINGTON, IL 61704-2484
(309) 336-4743
(309) 425-8529
Mailing address
2501 E COLLEGE AVE STE C, BLOOMINGTON, IL 61704-2484
(815) 246-2208
(309) 326-4550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
03/12/2026
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