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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1306947692 NPPES
Other 108494 BLUE CROSS OF MO
MEDICAID 423269513 BLUE CROSS OF MO

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