Individual provider · Type 1 NPI
Stephanie Painter, PA
Medical Physician Assistant · Champaign, IL
NPI number
1760611149
Active
Practice location
1701 Curtis Rd
Champaign, IL 61822-9678
Mailing address
611 W Park St, Bwpc
Urbana, IL 61801-2529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 085.003473 (IL) |
Medical Physician Assistant: Definition to come...
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About NPI 1760611149
Stephanie Painter, PA's National Provider Identifier is 1760611149, issued on Jul 7, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Champaign, IL. The record was last updated on May 8, 2014.