Springfield Elder Care, LLC
Gerontology Nurse Practitioner · Springfield, IL
Practice location
1808 S Bates AveSpringfield, IL 62704-3354
- Phone
- (217) 741-4304
NPI record
- NPI
- 1386950764
- Entity type
- Organization (Type 2)
- Enumeration date
- August 24, 2010
- Last updated
- August 24, 2010
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X |
209006847 | IL |
Authorized official
- Name
- Ms. Elizabeth Dianne Carlson, PH.D, MPH, BSN
- Title
- Owner
- Phone
- (217) 741-4304
About Springfield Elder Care, LLC
Springfield Elder Care, LLC 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 1386950764 was assigned on August 24, 2010 and the record was last updated on August 24, 2010.
Springfield Elder Care, LLC lists a license in the registry: #209006847 (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 Ms. Elizabeth Dianne Carlson, PH.D, MPH, BSN, Owner.
Frequently asked questions
What is the NPI number of Springfield Elder Care, LLC?
The NPI number is 1386950764.
What is the phone number of Springfield Elder Care, LLC?
The phone number listed for the practice location is (217) 741-4304.
Where is Springfield Elder Care, LLC located?
1808 S Bates Ave, Springfield, IL 62704-3354.
What is the taxonomy code for Springfield Elder Care, LLC?
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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