Individual provider · Type 1 NPI

Elizabeth Brianne Tully

Student in an Organized Health Care Education/Training Program · Plainfield, IL

NPI number 1255846978 Active

Practice location

2215 Carpenter Ave
Plainfield, IL 60586-5038

Call (815) 342-5944 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255846978

Elizabeth Brianne Tully's National Provider Identifier is 1255846978, issued on Dec 4, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Plainfield, IL. The record was last updated on Dec 4, 2017.