Individual
ERIC ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN-APRN
Contact information
Practice address
2400 BOONSLICK DR, BOONVILLE, MO 65233-1935
(660) 882-9840
(660) 882-3504
Mailing address
PO BOX 5111, SPRINGFIELD, MO 65801-5111
(660) 882-9840
(660) 882-3504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2001021688
MO
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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