Kate A Abitogun, RN, FNP
Individual provider Active NPI General Practice Registered Nurse · Springfield, IL
NPI 1174732150 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174732150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- Practice address
- 6201 Willow Springs Rd
Springfield, IL 62712-9590 - Phone
- (217) 553-7874
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-252429 | IL | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | IL | Yes |
Addresses
Primary practice location
6201 Willow Springs Rd
Springfield, IL 62712-9590
Mailing address
6201 Willow Springs Rd
Springfield, IL 62712-9590
Phone (217) 553-7874
Other providers in Springfield, IL
- Anita Abdo
- Omar Zuhair Abdulfattah
- Jasmine Ahmad Abdullh
- Muhammad Anas Abdulrazzak
- Matthew Scott Abell
- Patrick Abler
- Kinan J Abou-Kassem
- Arun V Abraham
- Ashley Abraham
- Christopher Douglas Abraham
All providers in Springfield, IL · General Practice Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.