Individual provider · Type 1 NPI

Estelisa Bevely, RN

Addiction (Substance Use Disorder) Registered Nurse · East St. Louis, IL

NPI number 1508633173 Active

Practice location

505 S 8th St
East St. Louis, IL 62201-2919

Mailing address

1501 Doris Ave
Cahokia Heights, IL 62206-2235

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400X041178213 (IL)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1508633173

Estelisa Bevely, RN's National Provider Identifier is 1508633173, issued on Dec 5, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in East St. Louis, IL. The record was last updated on Dec 5, 2023.