Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 277.000490 | IL |
NPI | 1124450390 |
---|---|
Provider Name | Christina Hay |
First Address | Gibson City, IL 60936-1000 |
Second Address | Bloomington, IL 61701-4310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2013 |
Last Update Date | 29/12/2021 |