Individual
DANIELLE PRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
201 N CUMMINGS LN, WASHINGTON, IL 61571-2181
(309) 444-3627
(309) 444-7158
Mailing address
201 N CUMMINGS LN, WASHINGTON, IL 61571-2181
(309) 444-3627
(309) 444-7158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012992
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209012992
ILLINOIS STATE LIC
IL
Enumeration date
08/03/2015
Last updated
04/19/2017
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