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General NPI Number Information
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NPI Number | 1033587829
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Entity Type | Individual
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Provider Name | MORGAN ANDREA MASSEY APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 09/10/2015
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 845 S ROUTE 51
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City | FORSYTH
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State | IL
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Zip | 62535-9809
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Country | US
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Telephone | 217-875-0953
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Fax |
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Provider Business Mailing Address
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Address Line | 611 W PARK ST
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City | URBANA
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State | IL
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Zip | 61801-2501
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Country | US
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Telephone | 217-383-3311
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277004827
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209013406
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License Number State | IL
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