Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY K KIESEWETTER, PMHNP
ActiveMARY K KIESEWETTER, PMHNP is a Nurse Practitioner healthcare provider located in CHAMPAIGN, Illinois. NPI 1114563640 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1114563640
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2019 (6.691580943802 yrs)
- Last Updated
- Nov 21, 2019
- Licenses
-
209020494 (IL)209.020494 (IL)
Practice Information
- Address
-
1802 S MATTIS AVECHAMPAIGN, IL, 618215923Browse IL providers · Browse ZIP 61821
- Phone
- 2173652855
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Nurse Practitioner Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| MARY STECH | NP | 1902849789 |
| MA R DIFANIS | NP | 1851337109 |
| MS. THERESA E. HARDY | A.N.P.,IBCLC | 1144237389 |
| CHERYL MANGERS | — | 1407862162 |
| MS. KATHRYN J. GETTY | — | 1932116159 |
| VIRGINIA HINEGARDNER | CNP | 1215944459 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.