Organization · Type 2 NPI
Springfield Elder Care, PC
Gerontology Nurse Practitioner · Springfield, IL
NPI number
1124316286
Active
Practice location
1808 S Bates Ave
Springfield, IL 62704-3354
Fax (713) 344-9420
Mailing address
PO Box 431
Stilwell, KS 66085-0431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | APN209006847 (IL) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
Other gerontology nurse practitioner providers in Springfield
About NPI 1124316286
Springfield Elder Care, PC's National Provider Identifier is 1124316286, issued on Jul 11, 2011. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Springfield, IL. The record was last updated on Jul 11, 2011.