TRISHA WIERENGA BSN RN IBCLC RLC NPI 1932510203

NPI Information

NPI: 1932510203
Provider Name: TRISHA WIERENGA, BSN, RN, IBCLC, RLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
6 WESTPORT CT
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 722-4020
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Trisha Wierenga, BSN, RN, IBCLC, RLC is a family nurse practitioner in Bloomington, IL. Trisha Wierenga, BSN, RN, IBCLC, RLC NPI is 1932510203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6 WESTPORT CT
BLOOMINGTON, IL
ZIP 61704-233
Phone: (309) 722-4020
Fax: (309) 740-4440

The enumeration date for this NPI number is 5/8/2014 and was last updated on 7/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WL0100X	Registered Nurse	Lactation Consultant	L-35463	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209023427	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	209023427	OTHER	ILLINOIS	FAMILY NURSE PRACTITIONER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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