Healthcare Provider Details

I. General information

NPI: 1194643213
Provider Name (Legal Business Name): CATHERINE NICOLE LAUBER DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 NE GLEN OAK AVE
PEORIA IL
61637-0001
US

IV. Provider business mailing address

21907 N BENEDICT ST
CHILLICOTHEE IL
61523-9680
US

V. Phone/Fax

Practice location:
  • Phone: 309-265-7736
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF06261320
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: