Individual provider · NPI-1

Kayla Catherine Carlile, FNP-BC

Nurse Practitioner, Family · Peru, IL

NPI number1841643137
StatusActive
Last updated in NPPESOct 10, 2023

Details

NPI
1841643137
Entity type
Individual (NPI-1)
Name
Kayla Catherine Carlile
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Jul 21, 2016
Certification date
Oct 10, 2023
Last updated
Oct 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209.014525ILYes

Other names

  • Kayla Catherine Vowels (Former Name)

Practice location

4040 Progress Blvd
Peru, IL 61354-1124

Phone 815-664-5367

Mailing address

4040 Progress Blvd
Peru, IL 61354-1124

Phone 815-664-5367

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