Katherine Bloodworth, MNP
NPI #1154415008 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1154415008
- Entity Type
- Individual
- Name
- Katherine Bloodworth, MNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- MNP
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Nov 26, 2008
Practice Location
- Address
- 1501 MCPHERSON AVE
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2831
- Phone
- (618) 241-1748
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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