Mary E Andris
Registered Nurse, Psych/Mental Health in Bloomington, IL. Individual provider (NPI-1).
NPI number1710074414
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710074414
- Entity type
- Individual (NPI-1)
- Name
- Mary E Andris
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 6, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 041156121 | IL | Yes |
Practice location
108 W MarketBloomington, IL 61701
Phone 309-827-5351 · Fax 309-829-6808
Mailing address
309 E Northtown RdNormal, IL 61761
Phone 309-454-5634
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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 Psychiatric/Mental Health Registered Nurse providers in Bloomington, IL
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All 23 Psychiatric/Mental Health Registered Nurse providers in Bloomington · All 2,449 providers in Bloomington
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