Individual provider · Type 1 NPI
Mara Layne Bessine, NP-C
Family Nurse Practitioner · Roseville, IL
NPI number
1508219361
Active
Practice location
235 E Penn Ave
Roseville, IL 61473-5006
Fax (309) 426-2455
Mailing address
113 S Main St
Sheffield, IL 61361-9752
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209014465 (IL) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1508219361
Mara Layne Bessine, NP-C's National Provider Identifier is 1508219361, issued on Jul 18, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roseville, IL. The record was last updated on Jul 7, 2020.