Individual
LARISA SHTURMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN, NP-C
Contact information
Practice address
77 N AIRLITE ST, ELGIN, IL 60123-4912
(847) 695-3200
Mailing address
5220 BELFORT RD, JACKSONVILLE, FL 32256-6017
(904) 446-3400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209.015260
IL
363LG0600X
Gerontology Nurse Practitioner
209.015260
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209.015260
IL
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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