MICHELLE WHARTON APN, NP-C
NPI 1073966313
Nurse Practitioner - Family in Marion, IL
Active since July 21, 2016
About Michelle Wharton Apn, Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE WHARTON APN, NP-C (NPI 1073966313) is an individual family provider in Marion, Illinois, licensed in Illinois (209014563) and active in the NPI registry since July 2016.
NPPES Registry Identity
NPI1073966313
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE WHARTONCredential: APN, NP-C
Location Address3412 OFFICE PARK DRMarion, IL 62959-6477
Mailing Address921 N 12th StHerrin, IL 62948-2805 · (618) 925-0105
Phone(618) 993-0404
Sole ProprietorNo
Enumeration DateJuly 21, 2016
✔ NPI 1073966313 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209014563
3412 OFFICE PARK DR, Marion, IL 62959
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
Family Medicine
3412 OFFICE PARK DR
MARION, IL 62959
MARION, IL 62959
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
3412 OFFICE PARK DR
MARION, IL 62959
MARION, IL 62959
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073966313, enumerated as an "individual" on July 21, 2016.
The provider is located at 3412 OFFICE PARK DR MARION, IL 62959 and the phone number is (618) 993-0404.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.