Mary K Brethour in Urbana - Nurse Practitioner

Mary K Brethour - NPI 1548435589

Mary K Brethour is a Nurse Practitioner in Urbana, Illinois. Mary K Brethour practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary K Brethour is 1548435589. The last update date is 2012-02-01.

Mary K Brethour'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 Mary K Brethour is 602 W University Ave, Urbana, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary K Brethour
Address 602 W University Ave, Urbana, Illinois
Phone Number 2173836792
Fax Number 2173262856
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1548435589
Provider Enumeration Date 2008-04-29
Last Updated Date 2012-02-01

Provider Mailing Address Detail

Address 602 W University Ave
City Urbana
State Illinois (IL)
Post Code 618012530
Phone Number 2173836792
Fax Number 2173262856

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 1-075081
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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FAQs about Mary K Brethour

What is the unique 10-digit identifier code issued to Mary K Brethour by the Centers for Medicare & Medicaid Services?

The Mary K Brethour has been assigned the NPI (National Provider Identifier) 1548435589 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Mary K Brethour's facilities are situated?

The facilities of Mary K Brethour are physically located at the following address: 602 W University Ave, Urbana, IL, 618012530.

What is the area of specialization for Mary K Brethour, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mary K Brethour is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.

When did Mary K Brethour receive its 1548435589 assignment?

The Mary K Brethour was assigned its 1548435589 on 2008-04-29, which is the date when this unique identifier was issued to the organization.

As of what date were the Mary K Brethour's details last updated?

The information pertaining to the Mary K Brethour, including its address, specialty, and other details, was most recently updated on 2012-02-01.

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