Dayana Mathew Karintholil
Nurse Practitioner - Community Health
819 Bloomington Rd
Champaign
, Illinois 61820-2101
Dayana Mathew Karintholil
Nurse Practitioner - Community Health
819 Bloomington Rd
Champaign
, Illinois 61820-2101
(425) 329-5555
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Dayana Mathew Karintholil
- 1511 English Oak Dr
- Champaign, IL
- Zip : 61822-3343
- Phone : (425) 329-5555
Second Address
- Dayana Mathew Karintholil
- 819 Bloomington Rd
- Champaign, IL
- Zip : 61820-2101
- Phone : (217) 356-1558
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Is Dayana Mathew Karintholil a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | 209.024029 | IL |
National Provider Identifier
| NPI | 1851051221 |
|---|---|
| Provider Name | Dayana Mathew Karintholil |
| First Address | Champaign, IL 61822-3343 |
| Second Address | Champaign, IL 61820-2101 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2021 |
| Last Update Date | 27/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.