Individual
MRS. ELIZABETH LEA BIRDSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
233 S CONGRESS ST, RUSHVILLE, IL 62681-1409
(217) 322-3345
Mailing address
1375 RESERVOIR RD, CONCORD, IL 62631-5012
(217) 323-2118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.021857
IL
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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