Wierenga, Trisha

Wierenga, Trisha is an sole proprietor health care provider with primary practice located at 6 Westport Ct , Bloomington IL 61704-8233. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Lactation Consultant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wierenga, Trisha can be contacted via phone (309) 722-4020.

Contact Information

Primary practice address
6 Westport Ct Bloomington IL 61704-8233
Phone: (309) 722-4020
Fax: (309) 740-4440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X L-35463 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209023427 Illinois

Profile Details

NPI number 1932510203
LBN Legal business name Wierenga, Trisha
Credentials BSN, RN, IBCLC, RLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2014
Last updated Jul 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932510203 NPPES
Illinois Other 209023427 FAMILY NURSE PRACTITIONER

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