person
Mrs. Diane Lynn Destefano, APRN
Acute Care Nurse Practitioner in Mount Carmel, Illinois
NPI 1063797314

Diane Lynn Destefano is an Acute Care Nurse Practitioner based in Mount Carmel, IL and is specialized in Acute Care. Diane Lynn Destefano practices in Mount Carmel, IL and has the professional credentials of APRN. The NPI Number for Diane Lynn Destefano is 1063797314 and holds a License No. 209009671 (Illinois).

The current practice location address for Diane Lynn Destefano is 1123 Chestnut St, Mount Carmel, IL and can be reached out via phone at 618-263-4376 and via fax at 618-262-7970.

Location: 1123 Chestnut St, Mount Carmel, IL, 62863-1212
person
Provider Profile Details
NPI Number
1063797314
Provider Name
Diane Lynn Destefano
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1123 Chestnut St, Mount Carmel, IL, 62863-1212
Phone Number
618-263-4376
Fax Number
618-262-7970
Provider Enumeration Date
10/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209009671 01 IL ILLINOIS APN LICENSE
3007204 01 KY KY LIC
71003775A 01 IN IN LICENSE
institution
Provider Business Practice Location Address Details
Address
1123 Chestnut St
City
State
Zip
62863-1212
Phone Number
618-263-4376
Fax Number
618-262-7970
person
Provider Business Mailing Address Details
Address
1123 Chestnut St
City
State
Zip
62863-1212
Phone Number
618-263-4376
Fax Number
618-262-7970
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
209009671 (Illinois)
Definition
Definition to come...
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