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Mr. Angelito Dariel Tacderas, APN
Nurse Practitioner in Marion, Illinois
NPI 1467785014

Angelito Dariel Tacderas is a Nurse Practitioner based in Marion, IL. Angelito Dariel Tacderas practices in Marion, IL and has the professional credentials of APN. The NPI Number for Angelito Dariel Tacderas is 1467785014 and holds a License No. 209.007762 (Illinois).

The current practice location address for Angelito Dariel Tacderas is 3331 W Deyoung St, Marion, IL and can be reached out via phone at 618-997-1200 and via fax at 618-997-1212.

Location: 3331 W Deyoung St, Marion, IL, 62959-0430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467785014
Provider Name
Angelito Dariel Tacderas
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
3331 W Deyoung St, Marion, IL, 62959-0430
Phone Number
618-997-1200
Fax Number
618-997-1212
Provider Enumeration Date
09/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 IL
institution
Provider Business Practice Location Address Details
Address
3331 W Deyoung St
City
Marion
State
Illinois
Zip
62959-5896
Phone Number
618-997-1200
Fax Number
618-997-1212
person
Provider Business Mailing Address Details
Address
3331 W Deyoung St
City
Marion
State
Illinois
Zip
62959-5896
Phone Number
618-997-1200
Fax Number
618-997-1212
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209.007762 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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