Individual
SARA KATHERINE MAFFIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 FRANKLIN AVE, NORMAL, IL 61761-3558
(309) 454-1400
Mailing address
1302 FRANKLIN AVE, NORMAL, IL 61761-3551
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3016524
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2018
Last updated
03/25/2024
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