Individual
SAHARA PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
610 N LINCOLN AVE, URBANA, IL 61801-2432
(217) 383-3507
(217) 383-3171
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
(217) 902-5292
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021667
IL
Other
Enumeration date
06/28/2021
Last updated
11/09/2022
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