Individual
DEBORAH LYNN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1701 CURTIS RD, CHAMPAIGN, IL 61822-9678
(217) 365-6200
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012135
IL
363LF0000X
Family Nurse Practitioner
209012135
IL
Other
Enumeration date
11/05/2014
Last updated
08/20/2020
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