Individual
DIANA L. OAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1005 HEALTH CENTER DR STE 104, MATTOON, IL 61938-4637
(217) 258-2178
(217) 258-4024
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4693
(217) 238-6055
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008054
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209008054
ILLINOIS DIVISION OF PROFESSIONAL REGULATION
IL
Enumeration date
02/25/2010
Last updated
01/16/2020
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