TRACY IVERSEN, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1063261345

Practice Address

210 W WALNUT ST
Canton, IL 61520

Phone: (309) 647-0201

Specialties

Specialty Code Primary License
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 209029712 (IL)

Frequently Asked Questions

NPI 1063261345 is the National Provider Identifier for TRACY IVERSEN, PMHNP, a Nurse Practitioner - Psychiatric/Mental Health provider located in Canton, IL. This NPI was enumerated on May 17, 2024.
TRACY IVERSEN, PMHNP practices at 210 W WALNUT ST, Canton, IL 61520.

Quick Facts

NPI
1063261345
Type
Individual
Enumerated
May 17, 2024
Last Updated
May 20, 2024

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