is a Nurse Practitioner in Urbana, Illinois. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1558411645. The last update date is .
's current location address is Po Box 6002, Urbana, Illinois. You can contact this provider via phone number 2173268300. The mailing address for is Po Box 6002, Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 6002, Urbana, Illinois |
| Phone Number | 2173268300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1558411645 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 6002 |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 618036002 |
| Phone Number | 2173268300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209003642 |
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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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