Individual
MS. MANEESHA T JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1302 FRANKLIN AVE, SUITE 3400, NORMAL, IL 61761-3551
(309) 556-8300
(309) 556-8295
Mailing address
1302 FRANKLIN AVE, SUITE 3400, NORMAL, IL 61761-3551
(309) 556-8300
(309) 556-8295
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
041.394485
IL
163WM0705X
Medical-Surgical Registered Nurse
582593-1
NY
163WM0705X
Medical-Surgical Registered Nurse
RN 9300306
FL
363LF0000X
Family Nurse Practitioner
Primary
209.008939
IL
363LF0000X
Family Nurse Practitioner
F336606-1
NY
Other
Enumeration date
10/17/2011
Last updated
03/11/2015
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