Women's Healthcare, Llc

NPI 1053562777 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1053562777
Enumeration Date 10/01/2008
Last Updated 10/01/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name J. TRAVIS J. TRAVIS
Position VICE PRESIDENT HCNA AND OPERATIONS
Phone (217) 757-7932
Fax (217) 757-7920
Practice Location
747 N RUTLEDGE ST
BAYLIS BUILDING, 2ND FLOOR
SPRINGFIELD IL, 62702-6700, US
Phone (217) 757-7932
Fax (217) 757-7920
Business Location
PO BOX 3428
SPRINGFIELD IL, 62708-3428, US
Phone (800) 577-5368
Fax (217) 757-2021
Toxanomy
Taxonomy Code 363L00000X
License State
License Number
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According to our database, Women's Healthcare, Llc NPI is 1053562777, taxonomy code is 363L00000X Women's Healthcare, Llc physically located at 747 N Rutledge St, Springfield IL, 62702-6700. NPI Number 1033115704 has the healthcare provider type.

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1053562777 NPI number is provided on an as is basis without warranty of any kind. 1053562777 is maintained by the National Plan & Provider Enumeration System. The contents of Women's Healthcare, Llc are for informational purposes only.