Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wisteria Health Services Ltd

Organization Primary Care Nurse Practitioner · NPI 1093448474

Wisteria Health Services Ltd is a Primary Care Nurse Practitioner in London Mills, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12860 E Lyons Rd
London Mills, IL 61544-9393
Phone: (309) 221-1678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1093448474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Valerie Watson — President · (309) 221-1678
NPI enumeratedJuly 5, 2022
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022
Mailing address12860 E Lyons Rd, London Mills, IL 61544-9393