Organization · Type 2 NPI

Advanced Wound Care LLC

Nurse Practitioner · Springfield, IL

NPI number 1528084266 Active

Practice location

2524 Farragut Dr # C
Springfield, IL 62704-8400

Fax (217) 698-3502

Mailing address

426 Tyrone Dr
Forsyth, IL 62535-1069

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1528084266

Advanced Wound Care LLC's National Provider Identifier is 1528084266, issued on Jul 14, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Springfield, IL. The record was last updated on Jan 16, 2008.