Springfield Elder Care, LLC
NPI #1386950764 in Springfield, Illinois
Provider Information
- NPI Number
- 1386950764
- Entity Type
- Organization
- Organization Name
- Springfield Elder Care, LLC
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Aug 24, 2010
- Last Updated
- Aug 24, 2010
Practice Location
- Address
- 1808 S BATES AVE
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-3354
- Phone
- (217) 741-4304
Authorized Official
- Name
- MS. ELIZABETH DIANNE CARLSON, PH.D, MPH, BSN
- Title
- OWNER
- Phone
- (217) 741-4304
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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