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NPI 1285859132

NPI 1285859132 : ANJA B SCHIFANO DNP, PMHNP, WHNP : MARION, IL

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General NPI Number Information
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    NPI Number           |    1285859132
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    Entity Type          |    Individual 
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    Provider Name        |    ANJA B SCHIFANO DNP, PMHNP, WHNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/16/2007
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    Last Update Date     |    11/24/2025
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Provider Practice Location Address
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    Address Line         |    3408 OFFICE PARK DR SUITE 301
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    City                 |    MARION
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    State                |    IL
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    Zip                  |    62959-6477
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    Country              |    US
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    Telephone            |    618-997-5266
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    Fax                  |    618-997-5285
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Provider Business Mailing Address
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    Address Line         |    3408 OFFICE PARK DR STE 301 
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    City                 |    MARION
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    State                |    IL
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    Zip                  |    62959-6477
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    Country              |    US
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    Telephone            |    618-997-5266
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    Fax                  |    618-997-5285
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    209005394
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    209-005394
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    License Number State |    IL
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