Ward, Autumn

Ward, Autumn is an individual health care provider with primary practice located at 611 W. Park St. , Urbana IL 61801-2500. 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. Ward, Autumn can be contacted via phone (217) 383-3610.

Contact Information

Primary practice address
611 W. Park St. Urbana IL 61801-2500
Phone: (217) 383-3610
Fax: (217) 326-2704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209011863 Illinois

Profile Details

NPI number 1093119505
LBN Legal business name Ward, Autumn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2014
Last updated Oct 13th, 2014 - about 12 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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