Individual
ELIZABETH ROSE HANRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
(253) 922-4027
Mailing address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
(253) 922-4027
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209029557
IL
Other
Enumeration date
05/17/2024
Last updated
11/18/2024
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