Individual
DENICE D STUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
901 W WALNUT ST, METAMORA, IL 61548-8637
(325) 348-3566
(325) 348-3791
Mailing address
901 W WALNUT ST, METAMORA, IL 61548-8637
(309) 367-4144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
695222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175016802
—
TX
01
—
NP0434
PTAN
TX
Enumeration date
05/10/2006
Last updated
08/14/2020
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