Individual
HAYLIE A DAMHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
747 N RUTLEDGE ST FL 4, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-7795
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.019499
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041427750
RN LICENSE
IL
Enumeration date
05/24/2019
Last updated
09/16/2024
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