Individual
MELDOMI ASABEA ASANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1506 AMY DR, MAHOMET, IL 61853-2749
(301) 651-0193
Mailing address
1506 AMY DR, MAHOMET, IL 61853-2749
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209028035
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209028035
IL
Other
Enumeration date
08/14/2023
Last updated
02/10/2024
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