Individual
ANDREW BIFULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
OSF SAINT FRANCIS MEDICAL CENTER 530 NE GLEN OAK AVENUE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
2017 E RIDGE RD, BELOIT, WI 53511-3914
(608) 316-0163
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.024142
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.024142
STATE BOARD OF NURSING
IL
Enumeration date
10/04/2021
Last updated
10/04/2021
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