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CONNIE H REQUARTH APN
NPI 1467462085
Nurse Practitioner - Women's Health in Decatur, IL

Active since August 08, 2006
2905 NORTH MAIN STREET, DECATUR, IL 62526(217) 877-9117(217) 877-3078 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connie H Requarth Apn NPPES

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

CONNIE H REQUARTH APN (NPI 1467462085) is an individual women's health provider in Decatur, Illinois, licensed in Illinois (041135327) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1467462085
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameCONNIE H REQUARTHCredential: APN
Location Address2905 NORTH MAIN STREETDecatur, IL 62526-4274
Mailing Address2905 North Main StreetDecatur, IL 62526-4274 · (217) 877-9117 · Fax (217) 877-3082
Phone(217) 877-9117
Fax(217) 877-3078
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateNovember 28, 2011
✔ NPI 1467462085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in IL · 041135327
2905 NORTH MAIN STREET, Decatur, IL 62526
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Other Identifiers 3

Medicare UPINQ32874IL
OtherP00238267IL · Medicare Rr
Medicare PINK13761IL

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 Connie Requarth's NPI number?

The NPI number for Connie Requarth is 1467462085. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Connie Requarth located?

Connie Requarth practices at 2905 North Main Street, Decatur, IL 62526. The listed phone number is (217) 877-9117.

What is Connie Requarth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Connie Requarth was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.