Individual
STEPHANIE HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3087
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209024892
IL
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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