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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ABIGAIL DIANE LAKE, DNP, PMHNP-BC

Active

ABIGAIL DIANE LAKE, DNP, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in ROCKFORD, Illinois. NPI 1730669409 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · ROCKFORD, IL

Registration Details

NPI Number
1730669409
Provider Type
Individual
Gender
Female
NPI Issued
Aug 21, 2018 (7.9429955044013 yrs)
Last Updated
Oct 23, 2023
Licenses
041404632 (IL)
209.028520 (IL)

Practice Information

Address
8616 NORTHERN AVE
ROCKFORD, IL, 611075309
Browse IL providers · Browse ZIP 61107
Phone
8153999700
Fax
8153941401

Other Psychiatric/Mental Health Nurse Practitioner Providers in ROCKFORD, IL

Name Credential NPI
MS. SANDY MEADE NP 1063492718
HELEN R. LINK APNP 1447226857
JUDITH ANN HEINSCHEL PHD APRN 1639246242
LYNN WHEELER APN 1295039873
MS. PATRICIA ANNE MITCHELL PMHNP 1881962595
DEBRA CORRIGAN APN 1043582273
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.