Individual
DARCI MARIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1009
(217) 544-6464
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209027122
IL
363LA2100X
Acute Care Nurse Practitioner
H163330
IA
363LG0600X
Gerontology Nurse Practitioner
Primary
209027122
IL
Other
Enumeration date
04/28/2021
Last updated
12/09/2024
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