Individual provider · NPI-1

Kristen J Bayer, FNP

Nurse Practitioner, Family · Mokena, IL

NPI number1386954741
StatusActive
Last updated in NPPESMar 5, 2012

Details

NPI
1386954741
Entity type
Individual (NPI-1)
Name
Kristen J Bayer
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2010
Last updated
Mar 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209009339ILYes
363LF0000X Nurse Practitioner, Family3177692FL

Practice location

11200 Lincoln Hwy
Mokena, IL 60448-8208

Phone 708-478-1821

Mailing address

1 Cvs Dr
Attn: Minuteclinic Credentialing 2100
Woonsocket, RI 02895-6146

Phone 401-770-1690 · Fax 401-652-2032

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Mokena, IL