Individual provider · NPI-1

Patricia Billingsley, RN, APN

Nurse Practitioner, Family · Berwyn, IL

NPI number1396389342
StatusActive
Last updated in NPPESNov 3, 2020

Details

NPI
1396389342
Entity type
Individual (NPI-1)
Name
Patricia Billingsley
Credential
RN, APN
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 3, 2019
Certification date
Nov 3, 2020
Last updated
Nov 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209022059ILYes
163W00000X Registered Nurse041.355942IL

Practice location

6201 Roosevelt Rd
Berwyn, IL 60402-1108

Phone 708-386-0845

Mailing address

27w084 Walnut Dr
Winfield, IL 60190-2015

Phone 630-752-1738

Other practice locations

27w084 Walnut Dr
Winfield, IL 60190-2015

Phone 630-752-1738

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