Individual provider · Type 1 NPI
Brittney Ellene Gallivan, NP-C
Family Nurse Practitioner · Springfield, IL
NPI number
1659928646
Active
Practice location
701 N 1st St
Springfield, IL 62781-0001
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.019643 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209019643 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659928646
Brittney Ellene Gallivan, NP-C's National Provider Identifier is 1659928646, issued on Aug 23, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, IL. The record was last updated on Sep 10, 2024.