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Mark S Nyaeme
Student in an Organized Health Care Education/Training Program in Urbana, Illinois
NPI 1063113009

Mark S Nyaeme is a Student in an Organized Health Care Education/Training Program based in Urbana, IL. Mark S Nyaeme practices in Urbana, IL. The NPI Number for Mark S Nyaeme is 1063113009 and holds a License No. (Illinois).

The current practice location address for Mark S Nyaeme is 506 S Mathews Ave, Urbana, IL and can be reached out via phone at 630-362-7123.

Location: 506 S Mathews Ave, Urbana, IL, 61801-3618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063113009
Provider Name
Mark S Nyaeme
Credential
Provider Entity Type
Individual
Gender
Male
Address
506 S Mathews Ave, Urbana, IL, 61801-3618
Phone Number
630-362-7123
Fax Number
Provider Enumeration Date
03/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
506 S Mathews Ave
City
Urbana
State
Illinois
Zip
61801-3618
Phone Number
630-362-7123
Fax Number
person
Provider Business Mailing Address Details
Address
506 S Mathews Ave
City
Urbana
State
Illinois
Zip
61801-3618
Phone Number
630-362-7123
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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