IndividualActive
Elizabeth Warren
NPI 1366035065 · Psychiatric/Mental Health Registered Nurse · Bloomington, IL
Provider details
- NPI number
- 1366035065
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041409935 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
108 W Market St
Bloomington, IL 61701-3918
Phone: (309) 827-5251
Approximate (ZIP-level) locationGet directions
Mailing address
108 W Market St
Bloomington, IL 61701-3918
Registry dates
- Enumerated
- 2021-02-15
- Last updated
- 2021-02-15
- Certified
- 2021-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.