Individual
MRS. ELISE MARIE MEFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-0201
Mailing address
180 S MAIN ST, CANTON, IL 61520-2608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011694
IL
Other
Enumeration date
08/14/2014
Last updated
11/25/2014
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