Deborah Shaw Conner, APN
Individual provider Active NPI Women's Health Nurse Practitioner · Macomb, IL
NPI 1811054299 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811054299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- Practice address
- 1 University Cir
Beu Health Center
Macomb, IL 61455-1367 - Phone
- (309) 298-1888
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209000188 | IL | MD | Women's Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | IL | Yes |
Addresses
Primary practice location
1 University Cir
Beu Health Center
Macomb, IL 61455-1367
Mailing address
1 University Cir
Macomb, IL 61455-1367
Other providers in Macomb, IL
- Kirsten Diane Clerkin
- Hayley Coker
- Kathryn Coker
- Brigette Anne Colley
- Cari Collins
- Caleb Ray Corrigan
- Counseling Cares P.C.
- Counseling Perspectives, LLC
- Countryside Care Center LLC
- County of McDonough McDonough County Clerk
All providers in Macomb, IL · Women's Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.