Elizabeth Mendeloff in Freeport - Nurse Practitioner
Elizabeth Mendeloff - NPI 1689682411
Elizabeth Mendeloff is a Nurse Practitioner in Freeport, Illinois. Elizabeth Mendeloff practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Elizabeth Mendeloff is 1689682411. The last update date is 2021-09-07.
Elizabeth Mendeloff's current location address is 1010 Fairway Dr, Freeport, Illinois. You can contact this provider via phone number 8155997950. The mailing address for Elizabeth Mendeloff is 1010 Fairway Dr, Freeport, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Mendeloff |
|---|---|
| Address | 1010 Fairway Dr, Freeport, Illinois |
| Phone Number | 8155997950 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1689682411 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2021-09-07 |
Provider Mailing Address Detail
| Address | 1010 Fairway Dr |
|---|---|
| City | Freeport |
| State | Illinois (IL) |
| Post Code | 610326600 |
| Phone Number | 8155997950 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209006109 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41219602 | IL | REGISTERED NURSE LICENSE |
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What is the unique 10-digit identifier code assigned to Elizabeth Mendeloff by the Centers for Medicare & Medicaid Services?
The Elizabeth Mendeloff has been issued the NPI (National Provider Identifier) 1689682411 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Elizabeth Mendeloff located?
The Elizabeth Mendeloff is located at 1010 Fairway Dr, Freeport, IL 610326600.
What is Elizabeth Mendeloff's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elizabeth Mendeloff is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Elizabeth Mendeloff receive its 1689682411 assignment from the Centers for Medicare & Medicaid Services?
The Elizabeth Mendeloff was assigned its 1689682411 by the Centers for Medicare & Medicaid Services on 2006-08-04.
When was the information related to Elizabeth Mendeloff most recently updated or refreshed?
The details pertaining to the Elizabeth Mendeloff, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-09-07.
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