Llewellyn, Eileen
Llewellyn, Eileen is an individual health care provider with primary practice located at 1443 N Robberson Ave # 200, Springfield MO 65802-3840. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Llewellyn, Eileen can be contacted via phone (417) 269-8061.Contact Information
Primary practice address
1443 N Robberson Ave # 200
Springfield MO 65802-3840
Phone: (417) 269-8061
Fax: (417) 269-8087
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 115663 | Missouri |
Profile Details
NPI number | 1306947692 |
---|---|
LBN Legal business name | Llewellyn, Eileen |
Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2006 |
Last updated | Jan 8th, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306947692 | NPPES |
Other | 108494 | BLUE CROSS OF MO | |
MEDICAID | 423269513 | BLUE CROSS OF MO |
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