Individual
EVA M BARGER-MARCUSIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3605
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209004771
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200502310
—
IN
Enumeration date
10/12/2006
Last updated
01/29/2020
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