Individual provider · Type 1 NPI
Mindy S. Ely
Specialist · Springfield, IL
NPI number
1912194432
Active
Practice location
30 Drawbridge Rd
Springfield, IL 62704-5247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1912194432
Mindy S. Ely's National Provider Identifier is 1912194432, issued on Sep 28, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Springfield, IL. The record was last updated on Sep 28, 2007.