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Contact Information

MANEESHA T JOSEPH, FNP
1302 FRANKLIN AVE
SUITE 3400
NORMAL, IL61761-3551
 Phone: 309-556-8300
 Fax: 309-556-8295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for MANEESHA T JOSEPH · (Female)

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
  • FL License # RN 9300306
  • IL License # 041.394485
  • IL License # 209.008939
  • NY License # 582593-1
  • NY License # F336606-1
Hospital affiliation(s)
  • BROMENN HEALTHCARE - (Acute Care)
    1304 FRANKLIN AVENUE
    NORMAL, IL 61761
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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