Individual
ELIZABETH J STUMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209005914
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041325363
ILLINOIS RN LICENSE
IL
Enumeration date
02/13/2006
Last updated
11/15/2008
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