Elizabeth L. Deddo, NP

Family Nurse Practitioner · Urbana, IL

Individual Active NPI

NPI number 1215458187

Practice location

611 W Park St
Urbana, IL 61801-2529
Phone
(217) 383-3610
Fax
(217) 326-2704

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NPI record

NPI
1215458187
Entity type
Individual (Type 1)
Enumeration date
June 30, 2017
Last updated
June 30, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Family Nurse Practitioner Primary 363LF0000X 209016123 IL

About Elizabeth Deddo

Elizabeth L. Deddo, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Family Nurse Practitioner (code 363LF0000X). The practice location is 611 W Park St, Urbana, IL 61801-2529. The NPI number 1215458187 was assigned on June 30, 2017 and the record was last updated on June 30, 2017.

Elizabeth Deddo lists a license in the registry: #209016123 (IL) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Elizabeth L. Deddo, NP?

The NPI number is 1215458187.

What is the phone number of Elizabeth Deddo?

The phone number listed for the practice location is (217) 383-3610.

Where is Elizabeth Deddo located?

611 W Park St, Urbana, IL 61801-2529.

What is the taxonomy code for Elizabeth Deddo?

The primary taxonomy code is 363LF0000X – Family Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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