Tricia Renae Malott-sturm, FNP-C is a
Nurse Practitioner - Family based in Marquette Heights, Illinois. Tricia Renae Malott-sturm is licensed to practice in Illinois (license number 209.022095) and her current practice location is
104 Ottawa Ct, Marquette Heights, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 360-1216.
NPI number for Tricia Renae Malott-sturm is 1063011674 and her current mailing address is 104 Ottawa Ct, Marquette Heights, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063011674.
Provider's Profile
Full Name | Tricia Renae Malott-sturm |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 104 Ottawa Ct, Marquette Heights, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063011674
- Provider Enumeration Date: 10/23/2020
- Last Update Date: 10/23/2020
Medical Identifiers
Medical identifiers for Tricia Renae Malott-sturm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063011674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209.022095 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tricia Renae Malott-sturm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tricia Renae Malott-sturm, FNP-C 104 Ottawa Ct, Marquette Heights, IL 61554-1401 Ph: (309) 360-1216 | Tricia Renae Malott-sturm, FNP-C 104 Ottawa Ct, Marquette Heights, IL 61554-1401 Ph: (309) 360-1216 |
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