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Contact Information

AUDRA D WASHO, APN
403 E 1ST ST
DIXON, IL61021
 Phone: 815-284-5710
 Fax: 815-285-5893
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AUDRA D WASHO · (Female)

NPI # 1063938413
Status Active
Credentials APN
Entity Individual
Enumeration date 08/17/2017
Last updated 07/24/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209016371
Hospital affiliation(s) Not Available
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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