Individual
ELIZABETH VONWELLSHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
382B SOUTH 58TH STREET, SPRINGFIELD, OR 97478
(541) 747-4858
(541) 747-8351
Mailing address
382B SOUTH 58TH STREET, SPRINGFIELD, OR 97478
(541) 747-4858
(541) 747-8351
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
087006599N4 GNPPP
OR
363LG0600X
Gerontology Nurse Practitioner
Primary
87006599N4
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161802
—
OR
Enumeration date
07/03/2006
Last updated
02/28/2014
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