Individual
AUDRA L TRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
102 W KENWOOD AVE, DECATUR, IL 62526-4368
(217) 872-3800
(217) 872-0849
Mailing address
102 W KENWOOD AVE, DECATUR, IL 62526-4368
(217) 872-3800
(217) 872-0849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-012542
IL
Other
Enumeration date
02/25/2015
Last updated
11/14/2016
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