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NPI Code Detail

MEDICARE: KRISTEN MAU FNP-C

MEDICARE: KRISTEN MAU FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner277.004113IL

General Provider Information

NPI Number : 1376031831
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN MAU FNP-C
Provider Business Mailing Address
First Line : 3200 CATON FARM RD
Second Line :
City : JOLIET
State : IL
Zip : 60431-1202
Country : US
Telephone Number : 866-389-2727
Fax Number : 815-267-8151
Provider Business Practice Location Address
First Line : 3200 CATON FARM RD
Second Line :
City : JOLIET
State : IL
Zip : 60431-1202
Country : US
Telephone Number : 866-389-2727
Fax Number : 815-267-8151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2018
Last Update Date : 04/14/2025

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Directions to “ KRISTEN MAU FNP-C” Practice Location

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