Individual
HEATHER WINQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1302 FRANKLIN AVE STE 3500, NORMAL, IL 61761-6522
(309) 268-6200
(309) 268-6224
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014753
IL
363LF0000X
Family Nurse Practitioner
036109595
IL
Other
Enumeration date
12/07/2017
Last updated
03/25/2021
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