Individual
MS. CAROL RAE WARFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 N MAPLE ST, EFFINGHAM, IL 62401-2005
(217) 347-7030
(217) 347-7049
Mailing address
1207 NETWORK CENTRE DR, SUITE 3, EFFINGHAM, IL 62401-4632
(217) 347-2707
(217) 347-2827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-000684
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041112424
RN LICENSE
IL
01
—
209000684
NURSE PRACTITIONER LICENSE
IL
01
—
309000228
NURSE PRACTITIONER CONTROLLED SUBS LICENSE
IL
Enumeration date
06/25/2006
Last updated
03/07/2023
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