NPI Profile for MANEESHA T JOSEPH in NORMAL, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Medical-Surgical |
163WM0705X |
| NPI # | 1033494455 |
|
| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 10/17/2011 | |
| Last updated | 03/11/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MANEESHA T JOSEPH
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