Legendre, Courtney Beth

Legendre, Courtney Beth is an individual health care provider with primary practice located at 545 Valley View Drive , Moline IL 61265-6138. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Legendre, Courtney Beth can be contacted via phone (309) 762-5560.

Contact Information

Primary practice address
545 Valley View Drive Moline IL 61265-6138
Phone: (309) 762-5560
Fax: (309) 762-7351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209005686 Illinois

Profile Details

NPI number 1003956871
LBN Legal business name Legendre, Courtney Beth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Feb 2nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003956871 NPPES
Illinois Other 209005686 ILLINOIS LICENSE

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