Mary Stech is a Nurse Practitioner in Champaign, Illinois. Mary Stech practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Stech is 1902849789. The last update date is 2014-11-17.
Mary Stech's current location address is 101 W University Ave, Champaign, Illinois. You can contact this provider via phone number 2173668107 and fax number 2173666106. The mailing address for Mary Stech is 101 W University Ave, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Stech |
|---|---|
| Address | 101 W University Ave, Champaign, Illinois |
| Phone Number | 2173668107 |
| Fax Number | 2173666106 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1902849789 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2014-11-17 |
Provider Mailing Address Detail
| Address | 101 W University Ave |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618203909 |
| Phone Number | 2173668107 |
| Fax Number | 2173666106 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209004442 |
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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 |
|---|---|---|---|
| P00403926 | IL | RAILROAD MEDICARE | |
| 433990 | IL | MEDICARE GROUP |
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What is the unique identification code assigned to Mary Stech by the Centers for Medicare & Medicaid Services?
The Mary Stech has been issued the NPI (National Provider Identifier) 1902849789. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Stech?
The Mary Stech is situated at 101 W University Ave, in the city of Champaign, state of IL, with the zip code 618203909.
What is the Mary Stech's specialty and taxonomy code?
The Mary Stech's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did Mary Stech receive its 1902849789 assignment from the Centers for Medicare & Medicaid Services?
The Mary Stech was assigned its 1902849789 on 2006-06-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mary Stech last refreshed?
The information related to the Mary Stech, including its address, specialty, and other relevant details, was last updated on 2014-11-17.
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