Individual
MARY BETH VOIGHTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-3204
(217) 383-4625
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-003406
IL
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
209-002339
IL
Other
Enumeration date
06/09/2010
Last updated
05/15/2014
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