Donofrio, Maureen

Donofrio, Maureen is an individual health care provider with primary practice located at 311 W. Fairchild , Danville IL 61832-3876. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Donofrio, Maureen can be contacted via phone (217) 431-7650.

Contact Information

Primary practice address
311 W. Fairchild Danville IL 61832-3876
Phone: (217) 431-7650
Fax: (217) 431-7634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209002038 Illinois

Profile Details

NPI number 1659446375
LBN Legal business name Donofrio, Maureen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Aug 13th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659446375 NPPES
Illinois MEDICAID 6447860014

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