Mary Kiesewetter, PMHNP

NPI 1114563640 · on the registry since 2019

Practice

Address: 1802 S Mattis Ave
Champaign, IL 61821
Phone: (217) 365-2855
Organisation at this address: Carle Clinic Association, Pc
The Care Foundation Hospital
Carle Health Care Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 74

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Also registered as: Psychiatric/Mental Health Nurse Practitioner
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois