Individual provider · Type 1 NPI
Ma R. Difanis, NP
Nurse Practitioner · Champaign, IL
Practice location
1701 Curtis Rd
Champaign, IL 61822-9678
Mailing address
602 W University Ave, Provider Enrollment NCW4
Urbana, IL 61801-2530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209004432 (IL) |
Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1851337109
Ma R. Difanis, NP's National Provider Identifier is 1851337109, issued on Jun 22, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Champaign, IL. The record was last updated on Nov 21, 2013.