Phyllis Diane Wille in Urbana - Nurse Practitioner
Phyllis Diane Wille - NPI 1619046174
Phyllis Diane Wille is a Nurse Practitioner in Urbana, Illinois. Phyllis Diane Wille practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Phyllis Diane Wille is 1619046174. The last update date is 2014-05-16.
Phyllis Diane Wille's current location address is 611 W. Park St., Urbana, Illinois. You can contact this provider via phone number 2179047000 and fax number 2179047742. The mailing address for Phyllis Diane Wille is 611 W. Park St., Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Diane Wille |
|---|---|
| Address | 611 W. Park St., Urbana, Illinois |
| Phone Number | 2179047000 |
| Fax Number | 2179047742 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1619046174 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2014-05-16 |
Provider Mailing Address Detail
| Address | 611 W. Park St. |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 61801 |
| Phone Number | 2179047000 |
| Fax Number | 2179047742 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209-005442 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Phyllis Diane Wille by the Centers for Medicare & Medicaid Services?
The Phyllis Diane Wille has been assigned the NPI (National Provider Identifier) 1619046174. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Phyllis Diane Wille is located?
The Phyllis Diane Wille is situated at the following address: 611 W. Park St., Urbana, IL, 61801.
What is the Phyllis Diane Wille's area of specialization and corresponding taxonomy classification?
The Phyllis Diane Wille's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1619046174 to Phyllis Diane Wille?
The Phyllis Diane Wille received its 1619046174 assignment from the Centers for Medicare & Medicaid Services on 2006-11-07.
As of what date was the information pertaining to Phyllis Diane Wille, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Phyllis Diane Wille, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-05-16.