Healthcare Provider Details

I. General information

NPI: 1346673308
Provider Name (Legal Business Name): LYNDI ALBERTS APN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2013
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 HUNT DR
NORMAL IL
61761-2192
US

IV. Provider business mailing address

1606 HUNT DR
NORMAL IL
61761-2192
US

V. Phone/Fax

Practice location:
  • Phone: 309-452-9701
  • Fax: 309-454-1957
Mailing address:
  • Phone: 309-452-9701
  • Fax: 309-454-1957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209010634
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: