Individual provider · NPI-1

Robert C Atchley, APN

Nurse Practitioner, Family · Mattoon, IL

NPI number1063860187
StatusActive
Last updated in NPPESJul 25, 2024

Details

NPI
1063860187
Entity type
Individual (NPI-1)
Name
Robert C Atchley
Credential
APN
Sex
Male
Sole proprietor
No
Enumeration date
May 31, 2016
Certification date
Jul 25, 2024
Last updated
Jul 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209-014274ILYes
363L00000X Nurse Practitioner209014274IL

Practice location

1000 Health Center Dr
Mattoon, IL 61938-9261

Phone 217-258-2551

Mailing address

Po Box 372
Mattoon, IL 61938-0372

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