Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REJUVANATION
Active OrganizationREJUVANATION is a Family Nurse Practitioner organization located in BLOOMINGTON, Illinois. NPI 1629213814 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1629213814
- Provider Type
- Organization
- NPI Issued
- Dec 2, 2008 (17.714573205801 yrs)
- Last Updated
- Dec 2, 2008
- License
-
209005824 (IL)
Practice Information
- Address
-
11 CURRENCY DRBLOOMINGTON, IL, 617049398Browse IL providers · Browse ZIP 61704
- Phone
- 3096784243
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.