Organization · Type 2 NPI
Good Samaritan Hospital Physician Services, Inc
Family Nurse Practitioner · Lawrenceville, IL
NPI number
1497685747
Active
Practice location
100 Trim Masters Dr
Lawrenceville, IL 62439-9501
Mailing address
1160 E Saint Clair St
Vincennes, IN 47591-4853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1497685747
Good Samaritan Hospital Physician Services, Inc's National Provider Identifier is 1497685747, issued on May 20, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lawrenceville, IL. The record was last updated on May 20, 2026.