Truletta M Argubright
Individual provider Active NPI Family Nurse Practitioner · Oglesby, IL
NPI 1346525904 · NPPES record last updated Jul 14, 2020
Key facts
- NPI
- 1346525904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209001786 (IL)
- Practice address
- 820 N Columbia Ave
Oglesby, IL 61348-1007 - Phone
- (815) 883-9146
- NPI assigned
- Oct 14, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111111000653 | IL | Practitioner - Nurse Practitioner | 4789858572 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209001786 | IL | Yes |
Addresses
Primary practice location
820 N Columbia Ave
Oglesby, IL 61348-1007
Mailing address
820 N Columbia Ave
Oglesby, IL 61348-1007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209001786 | Medicaid | IL |
Other names
- Truletta Malaise
Other providers in Oglesby, IL
- Alliance Dental Group
- Staci Bakerpruitt
- Brian Robert Billard
- Patricia Blackburn
- City of Oglesby
- Dental Professionals of Illinois, P.C.
All providers in Oglesby, IL · Family Nurse Practitioner 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 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.