Individual
HANNAH BURICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2512 HURST DR STE 120, MATTOON, IL 61938-9200
(217) 258-7590
(217) 258-3686
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209024931
IL
363LF0000X
Family Nurse Practitioner
Primary
209024931
IL
Other
Enumeration date
03/21/2022
Last updated
01/06/2025
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