Provider Demographics
NPI:1235680521
Name:KUHN, ELIZABETH ANN (APRN, CNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:KUHN
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 N MAIN ST STE 205
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:IL
Mailing Address - Zip Code:60548-2587
Mailing Address - Country:US
Mailing Address - Phone:815-786-3664
Mailing Address - Fax:815-981-7286
Practice Address - Street 1:1302 N MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:IL
Practice Address - Zip Code:60548-2587
Practice Address - Country:US
Practice Address - Phone:815-786-3664
Practice Address - Fax:815-981-7286
Is Sole Proprietor?:No
Enumeration Date:2016-10-20
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209015005363LF0000X
IL277003412363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily