Provider Demographics
NPI:1528333655
Name:ATKINS, MARSHA A (ANP)
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:A
Last Name:ATKINS
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
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Mailing Address - Street 1:101 W UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61820-3981
Mailing Address - Country:US
Mailing Address - Phone:309-385-7010
Mailing Address - Fax:309-524-6045
Practice Address - Street 1:2502 E EMPIRE ST STE A
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61704-3739
Practice Address - Country:US
Practice Address - Phone:309-846-0406
Practice Address - Fax:309-524-6045
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2024-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL277001791363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health