Individual
NATHALIE DIEUDONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
611 W. PARK ST., CRITICAL CARE, URBANA, IL 61801-2500
(217) 383-3087
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209015960
IL
363LA2100X
Acute Care Nurse Practitioner
5008477
NC
363LA2100X
Acute Care Nurse Practitioner
SP011625
PA
Other
Enumeration date
09/29/2011
Last updated
05/02/2023
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