Individual
CARMEKA D HONORABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4965 E LOST BRIDGE RD, DECATUR, IL 62521-5139
(217) 864-5531
Mailing address
4965 E LOST BRIDGE RD, DECATUR, IL 62521-5139
(217) 864-5531
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041382907
IL
363L00000X
Nurse Practitioner
Primary
209018332
IL
Other
Enumeration date
09/13/2013
Last updated
12/30/2021
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