Individual
DANIELLE MAYHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1303 W EVERGREEN AVE STE 100, EFFINGHAM, IL 62401-1638
(217) 540-6123
(217) 347-4969
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.029379
IL
Other
Enumeration date
03/06/2024
Last updated
11/04/2024
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