Healthcare Provider Details

I. General information

NPI: 1285859132
Provider Name (Legal Business Name): ANJA B SCHIFANO DNP, PMHNP, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3408 OFFICE PARK DR SUITE 301
MARION IL
62959-6477
US

IV. Provider business mailing address

3408 OFFICE PARK DR STE 301
MARION IL
62959-6477
US

V. Phone/Fax

Practice location:
  • Phone: 618-997-5266
  • Fax: 618-997-5285
Mailing address:
  • Phone: 618-997-5266
  • Fax: 618-997-5285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209005394
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number209-005394
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: