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Elite Professional Providers, Llc
Psychiatric/Mental Health Nurse Practitioner in Springfield, Missouri
NPI 1891488433

Elite Professional Providers, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Springfield, MO and is specialized in Psychiatric/Mental Health. Elite Professional Providers, Llc practices in Springfield, MO. The NPI Number for Elite Professional Providers, Llc is 1891488433 and holds a License No. (Missouri).

The current practice location address for Elite Professional Providers, Llc is 3322 S Campbell Ave Ste T-1, Springfield, MO and can be reached out via phone at 417-220-4482 and via fax at 417-414-0017.

Location: 3322 S Campbell Ave Ste T-1, Springfield, MO, 65804-3749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891488433
Provider Name
Elite Professional Providers, Llc
Credential
Provider Entity Type
Organization
Address
3322 S Campbell Ave Ste T-1, Springfield, MO, 65804-3749
Phone Number
417-220-4482
Fax Number
417-414-0017
Provider Enumeration Date
05/30/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500128969 05 MO
institution
Provider Business Practice Location Address Details
Address
3322 S Campbell Ave Ste T-1
City
Springfield
State
Missouri
Zip
65807-4980
Phone Number
417-220-4482
Fax Number
417-414-0017
person
Provider Business Mailing Address Details
Address
3322 S Campbell Ave Ste T-1
City
Springfield
State
Missouri
Zip
65807-4980
Phone Number
417-220-4482
Fax Number
417-414-0017
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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