Individual provider · Type 1 NPI

Andrew Bifulk, ACNPC-AG

Gerontology Nurse Practitioner · Peoria, IL

NPI number 1780356089 Active

Practice location

Osf Saint Francis Medical Center 530 NE Glen Oak Avenue
Peoria, IL 61637-0001

Call (309) 655-2000 Map

Mailing address

2017 E Ridge Rd
Beloit, WI 53511-3914

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X209024142 (IL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1780356089

Andrew Bifulk, ACNPC-AG's National Provider Identifier is 1780356089, issued on Oct 4, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Peoria, IL. The record was last updated on Jul 20, 2026.