Difanis, Ma R

Difanis, Ma R is an individual health care provider with primary practice located at 1701 Curtis Rd , Champaign IL 61822-9678. 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. Difanis, Ma R can be contacted via phone (217) 365-6203.

Contact Information

Primary practice address
1701 Curtis Rd Champaign IL 61822-9678
Phone: (217) 365-6203
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209004432 Illinois

Profile Details

NPI number 1851337109
LBN Legal business name Difanis, Ma R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Nov 21st, 2013 - 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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