Ma R Difanis is a Nurse Practitioner in Urbana, Illinois. Ma R Difanis practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Ma R Difanis is 1851337109. The last update date is 2013-11-21.
Ma R Difanis's current location address is 602 W University Ave, Urbana, Illinois. You can contact this provider via phone number 2173836792 and fax number 2173262856. The mailing address for Ma R Difanis is 602 W University Ave, Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ma R Difanis |
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Address | 602 W University Ave, Urbana, Illinois |
Phone Number | 2173836792 |
Fax Number | 2173262856 |
Sole Proprietor | N |
Credentials | NP |
NPI Number Detail
NPI Number | 1851337109 |
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Provider Enumeration Date | 2006-06-22 |
Last Updated Date | 2013-11-21 |
Provider Mailing Address Detail
Address | 602 W University Ave |
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City | Urbana |
State | Illinois (IL) |
Post Code | 618012530 |
Phone Number | 2173836792 |
Fax Number | 2173262856 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 209004432 |
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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What is the unique provider identifier assigned to Ma R Difanis?
The Ma R Difanis has been issued the NPI (National Provider Identifier) 1851337109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ma R Difanis?
The Ma R Difanis is physically situated at 602 W University Ave, in the city of Urbana, state of IL, with the postal code 618012530.
What is Ma R Difanis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ma R Difanis's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851337109 to Ma R Difanis?
The Centers for Medicare & Medicaid Services originally issued the 1851337109 to Ma R Difanis on 2006-06-22.
When was the information regarding Ma R Difanis most recently updated?
The details pertaining to the Ma R Difanis, including its address, specialty, and other relevant information, were last refreshed on 2013-11-21.