Springfield Elder Care, PC

Gerontology Nurse Practitioner · Springfield, IL

Organization Active NPI

NPI number 1124316286

Practice location

1808 S Bates Ave
Springfield, IL 62704-3354
Phone
(217) 391-6301
Fax
(713) 344-9420

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NPI record

NPI
1124316286
Entity type
Organization (Type 2)
Enumeration date
July 11, 2011
Last updated
July 11, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Gerontology Nurse Practitioner Primary 363LG0600X APN209006847 IL

Mailing address

PO Box 431
Stilwell, KS 66085-0431
Phone
(217) 391-6301
Fax
(713) 344-9420

Authorized official

Name
Dr. Elizabeth Carlson, APRN
Title
Owner
Phone
(217) 391-6301

About Springfield Elder Care, PC

Springfield Elder Care, PC is a healthcare organization registered in the NPI registry with the primary taxonomy Gerontology Nurse Practitioner (code 363LG0600X). The practice location is 1808 S Bates Ave, Springfield, IL 62704-3354. The NPI number 1124316286 was assigned on July 11, 2011 and the record was last updated on July 11, 2011.

Springfield Elder Care, PC lists a license in the registry: #APN209006847 (IL) for Gerontology Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Elizabeth Carlson, APRN, Owner.

Frequently asked questions

What is the NPI number of Springfield Elder Care, PC?

The NPI number is 1124316286.

What is the phone number of Springfield Elder Care, PC?

The phone number listed for the practice location is (217) 391-6301.

Where is Springfield Elder Care, PC located?

1808 S Bates Ave, Springfield, IL 62704-3354.

What is the taxonomy code for Springfield Elder Care, PC?

The primary taxonomy code is 363LG0600X – Gerontology Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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