Abby A Putnam is a Nurse Practitioner in Canton, Illinois. Abby A Putnam practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Abby A Putnam is 1356450142. The last update date is 2021-05-05.
Abby A Putnam's current location address is 180 S Main St, Canton, Illinois. You can contact this provider via phone number 3096470201 and fax number 3096495302. The mailing address for Abby A Putnam is 180 S Main St, Canton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Abby A Putnam |
|---|---|
| Address | 180 S Main St, Canton, Illinois |
| Phone Number | 3096470201 |
| Fax Number | 3096495302 |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1356450142 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2021-05-05 |
Provider Mailing Address Detail
| Address | 180 S Main St |
|---|---|
| City | Canton |
| State | Illinois (IL) |
| Post Code | 615202608 |
| Phone Number | 3096470201 |
| Fax Number | 3096495302 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 41315919 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2922981 | IL | BCBS | |
| 41315919 | IL | -- | |
| 107762 | IL | HEALTH ALLIANCE | |
| 62839 | IL | UMWA | |
| 1942315197 | IL | NPI CLINIC NUMBER |
Post Comment/ Review Below
What is the Abby A Putnam's unique identification number?
The Abby A Putnam has been assigned the NPI (National Provider Identifier) Number 1356450142 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Abby A Putnam located?
The Abby A Putnam is located at 180 S Main St, Canton, IL 615202608.
What is Abby A Putnam's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Abby A Putnam is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Abby A Putnam receive the assignment of its 1356450142 from the Centers for Medicare & Medicaid Services?
The Abby A Putnam was issued its 1356450142 by the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date was the information regarding Abby A Putnam, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Abby A Putnam, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-05.