Individual
ELIZABETH HAMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
SOUTHERN ILLINOIS UNIVERSITY 6 HAIRPIN DRIVE, EDWARDSVILLE, IL 62026
(618) 650-3956
Mailing address
701 MILLER STREET, NOKOMIS, IL 62075
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209029905
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2024
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