Organization · Type 2 NPI
Springfield Elder Care, LLC
Gerontology Nurse Practitioner · Springfield, IL
NPI number
1386950764
Active
Practice location
1808 S Bates Ave
Springfield, IL 62704-3354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209006847 (IL) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
Other gerontology nurse practitioner providers in Springfield
About NPI 1386950764
Springfield Elder Care, LLC's National Provider Identifier is 1386950764, issued on Aug 24, 2010. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Springfield, IL. The record was last updated on Aug 24, 2010.