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WISTERIA HEALTH SERVICES LTD
NPI 1093448474
Nurse Practitioner - Primary Care in London Mills, IL

Active since July 05, 2022
12860 E LYONS RD, LONDON MILLS, IL 61544(309) 221-1678 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wisteria Health Services Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISTERIA HEALTH SERVICES LTD (NPI 1093448474) is a healthcare organization registered as a primary care in London Mills, Illinois and active in the NPI registry since July 2022. The organization lists Valerie Watson, President, as its authorized official.

NPPES Registry Identity

NPI1093448474
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameWISTERIA HEALTH SERVICES LTD
Location Address12860 E LYONS RDLondon Mills, IL 61544-9393
Mailing Address12860 E Lyons RdLondon Mills, IL 61544-9393 · (309) 221-1678
Phone(309) 221-1678
Organization SubpartNo
Authorized OfficialValerie WatsonPresident · (309) 221-1678
Enumeration DateJuly 5, 2022
NPPES CertifiedJuly 5, 2022
✔ NPI 1093448474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
12860 E LYONS RD, London Mills, IL 61544
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wisteria Health Services Ltd's NPI number?

The NPI number for Wisteria Health Services Ltd is 1093448474. It was assigned to this organization in the NPPES registry on July 5, 2022.

Where is Wisteria Health Services Ltd located?

Wisteria Health Services Ltd is located at 12860 E Lyons Rd, London Mills, IL 61544. The listed phone number is (309) 221-1678.

What is Wisteria Health Services Ltd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Wisteria Health Services Ltd was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.