SUMMER PARK, APN
Nurse Practitioner - Family
Active
Individual
NPI: 1114196904
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 209006933 (IL) |
Frequently Asked Questions
NPI 1114196904 is the National Provider Identifier for SUMMER PARK, APN, a Nurse Practitioner - Family provider located in Champaign, IL. This NPI was enumerated on February 26, 2008.
SUMMER PARK, APN practices at 1801 WINDSOR RD, Champaign, IL 61822.
Quick Facts
- NPI
- 1114196904
- Type
- Individual
- Enumerated
- Feb 26, 2008
- Last Updated
- Feb 7, 2025
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