Doctor Name: | MS. DENISE L ORRILL |
NPI Number: | 1093961930 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 209007189 |
Business Practice Address: | 205 Huron Irvington, IL - 62848 |
Business Phone Number: | 6182496203 |
Business Fax Number: | 6182496263 |
Mailing Address: | 205 Huron, P.o. Box 190 IRVINGTON |
State: | IL |
Postal Code: | 62848 |
Phone Number: | 6182496203 |
Fax Number: | 6182496263 |
NPI Enumeration Date: | 08/12/2008 |
NPI Last Update Date: | 08/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209007189 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |