Dr. Elizabeth Fern Gephart
Nurse Practitioner - Pediatrics
101 N 16th St
Springfield
, Illinois 62703-1101
Dr. Elizabeth Fern Gephart
Nurse Practitioner - Pediatrics
101 N 16th St
Springfield
, Illinois 62703-1101
(217) 525-6522
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Dr. Elizabeth Fern Gephart
- 101 N 16th St
- Springfield, IL
- Zip : 62703-1101
- Phone : (217) 525-6522
Second Address
- Dr. Elizabeth Fern Gephart
- 101 N 16th St
- Springfield, IL
- Zip : 62703-1101
- Phone : (217) 525-6522
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LP0200X | Nurse Practitioner - Pediatrics | 209.000473 | IL |
National Provider Identifier
| NPI | 1043683584 |
|---|---|
| Provider Name | Dr. Elizabeth Fern Gephart |
| First Address | Springfield, IL 62703-1101 |
| Second Address | Springfield, IL 62703-1101 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/11/2015 |
| Last Update Date | 05/11/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.