person
Mary T Samulevich, APRN
Family Nurse Practitioner in Springfield, Illinois
NPI 1013504414

Mary T Samulevich is a Family Nurse Practitioner based in Springfield, IL and is specialized in Family. Mary T Samulevich practices in Springfield, IL and has the professional credentials of APRN. The NPI Number for Mary T Samulevich is 1013504414 and holds a License No. 209020043 (Illinois).

The current practice location address for Mary T Samulevich is 2200 Wabash Ave, Springfield, IL and can be reached out via phone at 217-528-7541 and via fax at 217-787-7104.

Location: 2200 Wabash Ave, Springfield, IL, 62703-2499
person
Provider Profile Details
NPI Number
1013504414
Provider Name
Mary T Samulevich
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2200 Wabash Ave, Springfield, IL, 62703-2499
Phone Number
217-528-7541
Fax Number
217-787-7104
Provider Enumeration Date
12/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2200 Wabash Ave
City
State
Zip
62704-5352
Phone Number
217-528-7541
Fax Number
217-787-7104
person
Provider Business Mailing Address Details
Address
2200 Wabash Ave
City
State
Zip
62704-5352
Phone Number
217-528-7541
Fax Number
217-787-7104
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209020043 (Illinois)
Definition
Definition to come...
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