Individual provider · Type 1 NPI

Mary Beth Ditman, C.F.N.P.

Family Nurse Practitioner · Springfield, IL

NPI number 1114920139 Active

Practice location

900 N 1st St
Springfield, IL 62702-3749

Call (217) 528-7541 Map

Fax (217) 525-0121

Mailing address

1025 S 6th St
Springfield, IL 62703-2403

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209-000728 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1114920139

Mary Beth Ditman, C.F.N.P.'s National Provider Identifier is 1114920139, issued on May 23, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, IL. The record was last updated on May 22, 2020.