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

Heather E Ruthstrom, NP

Individual provider Nurse Practitioner · NPI 1033692405

Heather E Ruthstrom, NP is a Nurse Practitioner in Urbana, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

611 W Park St
Urbana, IL 61801-2529
Phone: (217) 383-3610
Fax: (217) 326-2704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 516 W Madison St, Danville, IL 61832-5657 — (217) 431-7600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209017905 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209017905 (IL)

Record details

NPI number1033692405
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 12, 2018
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address611 W Park St, Urbana, IL 61801-2529

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