Mrs. Mary Beth Ditman, CFNP
Family Nurse Practitioner in Springfield, Illinois
NPI 1114920139

Mary Beth Ditman is a Family Nurse Practitioner based in Springfield, IL and is specialized in Family. Mary Beth Ditman practices in Springfield, IL and has the professional credentials of CFNP. The NPI Number for Mary Beth Ditman is 1114920139 and holds a License No. 209-000728 (Illinois).

The current practice location address for Mary Beth Ditman is 900 N 1St St, Springfield, IL and can be reached out via phone at 217-528-7541 and via fax at217-525-0121. You can also correspond with Mary Beth Ditman through the mailing address at 1025 S 6TH ST, SPRINGFIELD, IL - 62703-2403 (mailing address contact number: 217-528-7541).

person
Provider Profile Details
NPI Number
1114920139
Provider Name
Mary Beth Ditman
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
900 N 1St St, Springfield, IL, 62703-2403
Phone Number
217-528-7541
Fax Number
217-525-0121
Provider Enumeration Date
05/23/2005
Last Update Date
05/22/2020
institution
Provider Business Practice Location Address Details
Address
900 N 1St St
City
Springfield
State
Illinois
Zip
62702-3749
Phone Number
217-528-7541
Fax Number
217-525-0121
person
Provider Business Mailing Address Details
Address
1025 S 6Th St
City
Springfield
State
Illinois
Zip
62703-2403
Phone Number
217-528-7541
Fax Number
person
Provider's Primary Taxonomy Details
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209-000728 (Illinois)
Definition
Definition to come...